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PHILLIP WAYNE HEAD SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS CAGS

Contact information

Practice address
1324 TROTWOOD AVE, COLUMBIA, TN 38401-4750
(931) 388-5627
(931) 381-6797
Mailing address
1324 TROTWOOD AVE, COLUMBIA, TN 38401-4750
(931) 388-5627
(931) 381-6797

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS3913
TN

Other

Enumeration date
11/04/2005
Last updated
07/08/2007
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