Organization
PHILLIP MARSHALL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP MARSHALL DDS (PRESIDENT AND SECRETARY)
(423) 247-5125
Entity
Organization
Contact information
Practice address
1335 E CENTER ST STE 2, KINGSPORT, TN 37664-2489
(423) 247-5125
Mailing address
1335 E CENTER ST STE 2, KINGSPORT, TN 37664-2489
(423) 247-5125
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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