Individual
DR. REBECCA VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2105 E CENTER ST, SUITE D, KINGSPORT, TN 37664-2663
(423) 247-2431
(423) 247-3907
Mailing address
2105 E CENTER ST, SUITE D, KINGSPORT, TN 37664-2663
(423) 247-2431
(423) 247-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3735
TN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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