Individual
MRS. DEBORAH E. VANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
975 EMERGENCY DRIVE, BLOUNTVILLE, TN 37617
(423) 279-2677
Mailing address
1220 WAHOO VALLEY RD, KINGSPORT, TN 37663-3914
(423) 967-8361
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000005215
TN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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