Etowah Dental

NPI #1215243795 in Etowah, Tennessee

Provider Information

NPI Number
1215243795
Entity Type
Organization
Organization Name
Etowah Dental
Primary Specialty
Dentist
Enumeration Date
Aug 23, 2010
Last Updated
Aug 23, 2010

Practice Location

Address
620 TENNESSEE AVE
City
Etowah
ZIP Code
37331-1304
Phone
(423) 623-7315

Authorized Official

Name
DR. RAYMOND L PATE JR., D.M.D.
Title
CEO
Phone
(423) 333-5656

Specialties & Taxonomy Codes

Specialty
Dentist

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