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Individual

KEITA SPAULDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
212 INDIAN LAKE BLVD, HENDERSONVILLE, TN 37075-6267
(615) 431-3126
Mailing address
4018 ASPEN GROVE DR APT 108, FRANKLIN, TN 37067-2983
(615) 476-4126

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10960
KY
1223G0001X
General Practice Dentistry
Primary
12415
TN

Other

Enumeration date
12/19/2022
Last updated
02/08/2024
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