Individual
DR. DAVID HAROLD OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4957 SWINYAR DR, SUITE 107, OOLTEWAH, TN 37363-2204
(423) 396-3154
(423) 396-3156
Mailing address
4957 SWINYAR DR, SUITE 107, OOLTEWAH, TN 37363-2204
(423) 396-3154
(423) 396-3156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TN 8425
TN
Other
Enumeration date
01/30/2007
Last updated
04/22/2015
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