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Organization

JOHNSON CITY SMILES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK D DAMRON DMD (SOLE MEMBER)
(423) 928-0345
Entity
Organization

Contact information

Practice address
2800 PEOPLES ST STE 90, JOHNSON CITY, TN 37604-4158
(423) 928-0345
(423) 926-4358
Mailing address
2800 PEOPLES ST STE 90, JOHNSON CITY, TN 37604-4158
(423) 928-0345
(423) 926-4358

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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