Individual
MINDY LYNNE WIMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA,RDA
Contact information
Practice address
323 FOX RD, KNOXVILLE, TN 37922-3383
(865) 690-5231
(865) 691-4291
Mailing address
819 BELFAST ST, MARYVILLE, TN 37801-4503
(865) 257-0454
(865) 691-4291
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
10631
TN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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