Organization
PULITZER ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BRAKE (BUSINESS OFFICE MANAGER)
(423) 246-3001
Entity
Organization
Contact information
Practice address
1200 PULITZER PLACE, KINGSPORT, TN 37660
(423) 246-3001
(423) 765-9039
Mailing address
1200 PULITZER PLACE, KINGSPORT, TN 37660
(423) 246-3001
(423) 765-9039
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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