Individual
DR. KATHERINE BODFORD MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
550 TOWN CREEK RD E, SUITE 101, LENOIR CITY, TN 37772-6289
(865) 766-4884
Mailing address
550 TOWN CREEK RD E, SUITE 101, LENOIR CITY, TN 37772-6289
(865) 766-4884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9031
TN
1223P0221X
Pediatric Dentistry
Primary
9031
TN
Other
Enumeration date
10/08/2009
Last updated
06/07/2014
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