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Organization

SOUTH KNOX DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVONNE MACIAS RDH (BUSINESS/OPERATIONS MGR.)
(865) 524-1265
Entity
Organization

Contact information

Practice address
6555 CHAPMAN HWY, KNOXVILLE, TN 37920-6579
(865) 577-7535
Mailing address
6555 CHAPMAN HWY, KNOXVILLE, TN 37920-6579
(865) 577-7535

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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