Organization
EAST RIDGE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY CARRUTHERS (OFFICE MANAGER)
(423) 629-6015
Entity
Organization
Contact information
Practice address
3823 RINGGOLD RD, EAST RIDGE, TN 37412-1639
(423) 629-6015
Mailing address
3823 RINGGOLD RD, EAST RIDGE, TN 37412-1639
(423) 629-6015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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