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Individual

DR. JOHN WESLEY AMBURGEY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
24 LIBERTY LN, MCMINNVILLE, TN 37110-3362
(931) 474-1329
(931) 474-1330
Mailing address
PO BOX 191, MCMINNVILLE, TN 37111-0191
(931) 474-1329
(931) 474-1330

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3635
TN

Other

Enumeration date
12/12/2014
Last updated
12/12/2014
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