Individual
DR. SARA JEAN O'DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
600 N MAIN AVE, ERWIN, TN 37650-1392
(423) 743-6144
Mailing address
1221 PLEASANT HILL DR, UNICOI, TN 37692-6601
(423) 743-6144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7403
TN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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