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1376329094
ETHAN LONG DDS PLLC
MARYVILLE, TN
NPI
1376329094
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Entity Type
Organization
Authorized Contact
JANET LATHAM
Office Manager
865-984-7757
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
ETHAN LONG DDS PLLC
1105 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5130
Phone number: 865-984-7757
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Mailing Address
ETHAN LONG DDS PLLC
1105 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5130
Phone number: 865-984-7757
Copy
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