Individual
KATHY O PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3123 MILLER AVE, CROSSVILLE, TN 38555-6119
(931) 484-3664
Mailing address
799 DAYTON AVE, CROSSVILLE, TN 38555-2776
(270) 407-1514
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000002355
TN
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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