Organization
INFIRM CARE DENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT N GENGOZIAN RDH (MARKETING DIRECTOR)
(865) 206-6198
Entity
Organization
Contact information
Practice address
460 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(865) 206-6198
Mailing address
1143 OAK RIDGE TPKE STE 107A, OAK RIDGE, TN 37830-6422
(865) 206-6198
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
1007
TN
Other
Enumeration date
02/01/2018
Last updated
03/17/2018
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