Individual
ARTHA JULIA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5756 TN-153, SUITE 128, HIXSON, TN 37343
(423) 875-9374
Mailing address
5756 TN-153, SUITE 128, HIXSON, TN 37343
(423) 875-9374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11005
TN
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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