Individual
ENELYS CARIDAD MORENO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7731 KINGSTON PIKE STE 102, KNOXVILLE, TN 37919-5506
(865) 525-4422
Mailing address
6753 ALBATROSS LN, KNOXVILLE, TN 37921-3603
(786) 362-1607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11796
TN
Other
Enumeration date
12/04/2021
Last updated
01/26/2022
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