Individual
AMY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 LEXINGTON PLZ, LEXINGTON, TN 38351-1505
(731) 968-7743
Mailing address
104 LEXINGTON PLZ, LEXINGTON, TN 38351-1505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9906
TN
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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