Individual
KANDI C DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1006 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5132
(865) 983-4582
Mailing address
237 SEALS CROSSING WAY, MARYVILLE, TN 37803
(865) 216-2293
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
11201
TN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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