Individual
TRACI GAIL QUEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2529 W EMORY RD, POWELL, TN 37849-3712
(865) 947-2220
Mailing address
2529 W EMORY RD, POWELL, TN 37849-3712
(865) 947-2220
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000003561
TN
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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