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Organization

PEDIATRIC DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VALERIE A ESKER DMD (OWNER/PEDIATRIC DENTIST)
(865) 558-8857
Entity
Organization

Contact information

Practice address
209 E EMORY RD STE 101, POWELL, TN 37849-4016
(865) 558-8857
(865) 558-8857
Mailing address
209 E EMORY RD STE 101, POWELL, TN 37849-4016
(865) 558-8857

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1902
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467573911
MO
Enumeration date
01/15/2018
Last updated
01/15/2018
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