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Organization
ST ELMO DENTAL LLC
Active
Organization
ST ELMO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LAWSON (OFFICE MANAGER)
(423) 821-9771
Entity
Organization
Contact information
Practice address
3918 TENNESSEE AVE STE 300, CHATTANOOGA, TN 37409-1352
(423) 821-7711
Mailing address
3918 TENNESSEE AVE STE 300, CHATTANOOGA, TN 37409-1352
(423) 821-7711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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