Individual
DR. JESSICA MERCEDES MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
210 CEDAR FORK RD, TAZEWELL, TN 37879-3201
(423) 626-7070
(423) 626-7060
Mailing address
210 CEDAR FORK RD, TAZEWELL, TN 37879-3201
(423) 626-7070
(423) 626-7060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9022
TN
Other
Enumeration date
07/14/2009
Last updated
01/10/2011
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