Individual
DR. MITCHELL RYAN MASCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 MABRY HOOD RD STE 105, KNOXVILLE, TN 37922-2221
(865) 693-4442
Mailing address
130 MABRY HOOD RD STE 105, KNOXVILLE, TN 37922-2221
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018.002079
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000011998
TN
Other
Enumeration date
07/02/2018
Last updated
06/29/2023
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