Individual
DR. AUSTIN BRADLEY HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1905 W BROADWAY AVE, MARYVILLE, TN 37801-5401
(865) 983-0941
Mailing address
2741 WATERS PLACE DR, MARYVILLE, TN 37803-5305
(320) 212-6296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12280
TN
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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