Universal Dental Assoc Dso Llc

NPI 1467758227 - Dentist - 122300000X

NPI Details
NPI 1467758227
Enumeration Date 01/26/2011
Last Updated 08/01/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TONYA LYNN TONYA
Position OFFICE MANAGER
Phone (423) 928-5500
Fax (423) 929-1505
Practice Location
712 W WALNUT ST
JOHNSON CITY TN, 37604-6524, US
Phone (423) 928-5500
Fax (423) 929-1505
Business Location
712 W WALNUT ST
JOHNSON CITY TN, 37604-6524, US
Phone (423) 928-5500
Fax (423) 929-1505
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number DS3637
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According to our database, Universal Dental Assoc Dso Llc NPI is 1467758227, taxonomy code is 122300000X and license number is DS3637, license state is located at Tennessee. Universal Dental Assoc Dso Llc physically located at 712 W Walnut St, Johnson City TN, 37604-6524. NPI Number 1033115704 has the healthcare provider type.

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1467758227 NPI number is provided on an as is basis without warranty of any kind. 1467758227 is maintained by the National Plan & Provider Enumeration System. The contents of Universal Dental Assoc Dso Llc are for informational purposes only.