Individual
JONATHAN VINEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2020 TOWN CENTER BLVD, KNOXVILLE, TN 37922-6677
(865) 685-4106
Mailing address
2316 YELLOW BIRCH WAY APT 105, KNOXVILLE, TN 37931-2589
(917) 701-3065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11174
TN
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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