Organization
SOUTHEASTERN MOBILE DENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY JONES (DENTAL DIRECTOR)
(615) 202-8864
Entity
Organization
Contact information
Practice address
18383 N FORK RIVER RD, ABINGDON, VA 24210-4335
(615) 202-8864
Mailing address
358 RELAX DR # LO2, SMITHVILLE, TN 37166-7351
(615) 215-7115
(615) 215-7113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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