Individual
DR. CODY D CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1705 EDGEMONT AVE, BRISTOL, TN 37620-4307
(423) 968-1933
Mailing address
1705 EDGEMONT AVE, BRISTOL, TN 37620-4307
(423) 968-1933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10735
TN
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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