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Organization
TN DENTAL PROFESSIONALS PC
Active
Organization
TN DENTAL PROFESSIONALS PC
Active
Other names
Shabo Dental Smile Studio
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WORKMAN (ANALYST, REVENUE CYCLE MANAGEMENT)
(440) 241-1931
Entity
Organization
Contact information
Practice address
1309 PANORAMA DR STE 101, CHATTANOOGA, TN 37421-4771
(615) 620-5990
Mailing address
PO BOX 306082, NASHVILLE, TN 37230-6082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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