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1952547366
SOUTHEAST ORAL SURGERY PC
KNOXVILLE, TN
NPI
1952547366
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Entity Type
Organization
Authorized Contact
TIMOTHY MCCONNELL
Partner
865-977-7110
Organization Subpart ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2009-01-07
Last Update Date
2009-04-15
Business Address
SOUTHEAST ORAL SURGERY PC
801 W OLDHAM AVE
KNOXVILLE, TN 37921-2747
Phone number: 865-522-1244
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Mailing Address
SOUTHEAST ORAL SURGERY PC
1858 CREST RD
MARYVILLE, TN 37804-4305
Phone number: 865-977-7110
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