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Organization

RESTORATIVE DENTAL ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH G SANDBERG D.D.S. (GENERAL DENTIST)
(931) 648-0604
Entity
Organization

Contact information

Practice address
237 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8852
(931) 648-0604
(931) 648-0605
Mailing address
237 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8852
(931) 648-0604
(931) 648-0605

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/16/2011
Last updated
03/16/2011
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