Individual
SEAN DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 W DUE WEST AVE, MADISON, TN 37115-4402
(615) 865-9400
Mailing address
624 W DUE WEST AVE, MADISON, TN 37115-4402
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7076
TN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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