Organization
SOUTHEAST MOBILE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CALLIE MICHELE FISHEL RDH (DENTAL HYGIENIST)
(865) 441-2527
Entity
Organization
Contact information
Practice address
842 BROOKSHIRE BLVD, MARYVILLE, TN 37803-6475
(865) 441-2527
Mailing address
842 BROOKSHIRE BLVD, MARYVILLE, TN 37803-6475
(865) 441-2527
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS9854
TN
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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