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Organization

ATHENS FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADELINE HOESTEN (VICE PRESIDENT OF INTEGRATION)
(954) 675-3088
Entity
Organization

Contact information

Practice address
746 TELL STREET, ATHENS, TN 37303
(423) 745-3559
(423) 507-8217
Mailing address
3483 COASTLINE LN, VIERA, FL 32940-6587
(954) 675-3088

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/01/2019
Last updated
05/29/2024
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