Individual
DR. ANGELA MARASCALCO SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4801 CUBA MILLINGTON RD, MILLINGTON, TN 38053-5401
(901) 872-8787
(479) 252-6029
Mailing address
PO BOX 1415, GREENWOOD, AR 72936-1415
(901) 872-8787
(479) 252-6029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7083
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164632
—
TN
Enumeration date
01/26/2007
Last updated
02/21/2012
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