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Individual

MELISSA GAIL MAGSIPOC KEMINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5000
Mailing address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9724
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1534039
TN
Enumeration date
07/12/2013
Last updated
03/07/2016
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