Organization
BOYCE RANDALL LEDUKE DDS
Active
Other names
Smiles by LeDuke
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE MARIE BATH (PATIENT ACCOUNT ADMINISTRATOR)
(731) 885-0497
Entity
Organization
Contact information
Practice address
214 W CHURCH ST, UNION CITY, TN 38261-3816
(731) 885-0497
(731) 885-0244
Mailing address
214 W CHURCH ST, UNION CITY, TN 38261
(731) 885-0497
(731) 885-0244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS3604
TN
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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