Individual
MRS. GLORIA MAITE SERRANO CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
824 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-4578
(865) 379-7004
(865) 379-7040
Mailing address
1537 LECONTE DR, MARYVILLE, TN 37803-5613
(770) 364-5648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10580
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2017
Last updated
11/15/2018
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