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Organization

KAIL, GROBMYER & LEONARD DENISTRY

Active
Other names
Premier Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER HICKS (OFFICE MANAGER)
(731) 613-2800
Entity
Organization

Contact information

Practice address
14029 S 1ST ST, MILAN, TN 38358-6195
(731) 613-2800
(731) 613-2803
Mailing address
14029 S 1ST ST, MILAN, TN 38358-6195
(731) 613-2800
(731) 613-2803

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS10347
TN
122300000X
Dentist
DS3413
TN
122300000X
Dentist
Primary
DS7790
TN
122300000X
Dentist
DS8401
TN

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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