Maryville Modern Dentistry, Pc Dental Clinic

Get detailed information about Maryville Modern Dentistry, Pc dental clinic in Irvine California.
Maryville Modern Dentistry, Pc (MARYVILLE MODERN DENTISTRY, PC) is a Dental Clinic in Alcoa, Tennessee. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Maryville Modern Dentistry, Pc is 1679056683.

The current location address for Maryville Modern Dentistry, Pc is 1053 Hunters Xing, , Alcoa, Tennessee and the contact number is 865-223-6705 and fax number is --. The mailing address for Maryville Modern Dentistry, Pc is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameMaryville Modern Dentistry, Pc
Provider OrganizationMARYVILLE MODERN DENTISTRY, PC
Address1053 Hunters Xing, ,
Alcoa
Tennessee, 37701-1850
Phone Number865-223-6705
Fax Number--
Authorized Official NameDr. Tanisha A Jackson
Authorized Official Title/PositionOwner/dds
Authorized Official Contact Number865-223-6705
NPI Number Details:
NPI Number1679056683
Provider Enumeration Date09/14/2018
Last Update Date04/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8890
Fax Number303-952-0892
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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