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Jupiter 4gd, Llc
Dental Clinic/Center in Lebanon, Tennessee
NPI 1710679071

Jupiter 4gd, Llc is a Dental Clinic/Center based in Lebanon, TN and is specialized in Dental. Jupiter 4gd, Llc practices in Lebanon, TN. The NPI Number for Jupiter 4gd, Llc is 1710679071 and holds a License No. (Tennessee).

The current practice location address for Jupiter 4gd, Llc is 110 Winwood Dr, Lebanon, TN and can be reached out via phone at 615-453-8900.

Location: 110 Winwood Dr, Lebanon, TN, 37087-3134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710679071
Provider Name
Jupiter 4gd, Llc
Credential
Provider Entity Type
Organization
Address
110 Winwood Dr, Lebanon, TN, 37087-3134
Phone Number
615-453-8900
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
110 Winwood Dr
City
Lebanon
State
Tennessee
Zip
37087-3134
Phone Number
615-453-8900
Fax Number
person
Provider Business Mailing Address Details
Address
110 Winwood Dr
City
Lebanon
State
Tennessee
Zip
37087-3134
Phone Number
615-453-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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