Individual
MAHOGANI EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
224 OLD MILL RD, WARTBURG, TN 37887-4163
(423) 346-6221
Mailing address
300 S TULANE AVE APT 2204, OAK RIDGE, TN 37830-6776
(229) 347-0893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12532
TN
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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