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Organization
JOHNSON CITY SMILES, LLC
Active
Organization
JOHNSON CITY SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D DAMRON DMD (SOLE MEMBER)
(423) 928-0345
Entity
Organization
Contact information
Practice address
2800 PEOPLES ST STE 90, JOHNSON CITY, TN 37604-4158
(423) 928-0345
(423) 926-4358
Mailing address
2800 PEOPLES ST STE 90, JOHNSON CITY, TN 37604-4158
(423) 928-0345
(423) 926-4358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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