Individual
EBEN A DEARMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 20TH ST NW, CLEVELAND, TN 37311-3803
(423) 476-7696
(423) 476-4115
Mailing address
150 20TH ST NW, CLEVELAND, TN 37311-3803
(423) 476-7696
(423) 476-4115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3955
TN
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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