East Tennessee Oral & Maxillofacial Surgery, PC

NPI #1043520042 in Sevierville, Tennessee

Provider Information

NPI Number
1043520042
Entity Type
Organization
Organization Name
East Tennessee Oral & Maxillofacial Surgery, PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 12, 2010
Last Updated
Nov 18, 2010

Practice Location

Address
1112 MEDICAL PARK CT
ZIP Code
37862-6933
Phone
(865) 453-1070

Authorized Official

Name
DR. MARK M WIDLOSKI, DDS
Title
OWNER
Phone
(865) 983-8630

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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