Organization
TWIN LAKES DENTAL CARE PLLC
Active
Other names
Twin Lakes Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEPHEN BOH DMD (PRESIDENT)
(270) 839-6608
Entity
Organization
Contact information
Practice address
11315 LEBANON RD, MOUNT JULIET, TN 37122
(270) 839-6608
Mailing address
3127 LONG BLVD APT 308, NASHVILLE, TN 37203-2077
(270) 839-6608
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10219
TN
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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