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Organization
WESTMORELAND DENTAL GROUP
Active
Organization
WESTMORELAND DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY DALE WESTMORELAND (OWNER)
(423) 282-2844
Entity
Organization
Contact information
Practice address
508 PRINCETON RD STE 101, JOHNSON CITY, TN 37601-2060
(423) 282-2844
Mailing address
508 PRINCETON RD STE 101, JOHNSON CITY, TN 37601-2060
(423) 282-2844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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