Individual
DR. DIANNE FAE FILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
977 MOUNTAIN CIR, MC DONALD, TN 37353-4944
(423) 614-3700
(423) 614-3700
Mailing address
977 MOUNTAIN CIR, MC DONALD, TN 37353-4944
(423) 614-3700
(423) 614-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS004783
TN
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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