Organization
NORTHSHORE DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVON ELIZABETH HULSE D.D.S. (PRESIDENT)
(865) 640-5283
Entity
Organization
Contact information
Practice address
7424 S NORTHSHORE DR, KNOXVILLE, TN 37919-8822
(865) 247-0069
(865) 247-0071
Mailing address
7424 S NORTHSHORE DR, KNOXVILLE, TN 37919-8822
(865) 247-0069
(865) 247-0071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8110
TN
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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