Individual
GARRETT C SOULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5606 HIGHWAY 153, HIXSON, TN 37343-3725
(423) 877-1334
Mailing address
5606 HIGHWAY 153, HIXSON, TN 37343-3725
(423) 877-1334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7302
TN
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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