Individual
WALLACE CARLO HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
975 EMERGENCY ROAD, BLOUNTVILLE, TN 37617-0630
(423) 279-2677
(426) 323-2268
Mailing address
2017 WESTWIND DR, KINGSPORT, TN 37660-3444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5285
TN
Other
Enumeration date
12/13/2006
Last updated
03/10/2011
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