Individual
MS. STACEY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1303 CARROLL CREEK RD, STE 120, JOHNSON CITY, TN 37615-4674
(423) 926-1171
Mailing address
1825 W LAKEVIEW DR, APT. Q128, JOHNSON CITY, TN 37601-2193
(423) 328-6952
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7944
TN
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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