Organization
COMMUNITY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA KHERANI DDS (OWNER)
(865) 466-0327
Entity
Organization
Contact information
Practice address
116 CUMBERLAND LN # 1, JACKSBORO, TN 37757-2737
(423) 562-9459
(423) 566-7195
Mailing address
1107 GRAY EAGLE LN, KNOXVILLE, TN 37932-1591
(865) 466-0327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TN
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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