Individual
BRENT CORNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 TUSCULUM BLVD, GREENEVILLE, TN 37745-3951
(423) 638-5141
Mailing address
600 TUSCULUM BLVD, GREENEVILLE, TN 37745-3951
(423) 638-5141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11268
TN
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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