Organization
RED LEAF ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON TWOMLEY DDS, MSD (OWNER, DOCTOR)
(504) 239-2498
Entity
Organization
Contact information
Practice address
1414 JENKINS RD STE 146A, CHATTANOOGA, TN 37421-3470
(423) 541-3777
Mailing address
1414 JENKINS RD STE 146A, CHATTANOOGA, TN 37421-3470
(423) 541-3777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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