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Organization

JAW, LLC

Active
Other names
TN Valley Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCI RAINES (PRACTICE MANAGER)
(423) 877-1286
Entity
Organization

Contact information

Practice address
1005 EXECUTIVE DR, SUITE 105, HIXSON, TN 37343-7903
(423) 877-1286
(423) 877-1290
Mailing address
1005 EXECUTIVE DR, SUITE 105, HIXSON, TN 37343-7903
(423) 877-1286
(423) 877-1290

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS8742
TN

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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