Individual
DR. ADAM MICHAEL QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
715 W MAIN ST, MOUNTAIN CITY, TN 37683-1217
(423) 727-9731
Mailing address
4892 ISLAND RD APT C107, BRISTOL, TN 37620-7432
(423) 612-4584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10631
TN
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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