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Individual

RICHARD L PATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2292 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 37311-3862
(423) 476-8831
(423) 476-5525
Mailing address
2292 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 37311-3862
(423) 476-8831
(423) 476-5525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004422
TN

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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