Individual
RICHARD LLOYD STREETER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1105 W STONE DR, KINGSPORT, TN 37660-2558
(423) 247-7731
Mailing address
19 PENDLETON PL, KINGSPORT, TN 37664-2169
(423) 288-6260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TN4999
TN
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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