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Individual

ANNA N/A DUVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
1900 PATTERSON ST STE 101, NASHVILLE, TN 37203-2128
(615) 320-1805
(615) 320-1548
Mailing address
3370 SUGARLOAF PKWY STE G8, LAWRENCEVILLE, GA 30044-5486
(615) 275-6669

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8877
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346491636
TN
05
Q001723
TN
Enumeration date
10/05/2008
Last updated
02/04/2020
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