SOUTHEAST ORAL SURGERY PC

MARYVILLE, TN
NPI1184733446
Entity TypeOrganization
Authorized ContactTIMOTHY P MCCONNELL
CEO
865-977-7110
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
Enumeration Date2006-08-30
Last Update Date2009-04-15
Business Address
SOUTHEAST ORAL SURGERY PC
1858 CREST RD
MARYVILLE, TN 37804-4305
Phone number: 865-977-7110
Mailing Address
SOUTHEAST ORAL SURGERY PC
1858 CREST RD
MARYVILLE, TN 37804-4305
Phone number: 865-977-7110
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