Sophisticated Smiles Tc, LLC
NPI #1346091444 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1346091444
- Entity Type
- Organization
- Organization Name
- Sophisticated Smiles Tc, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 28, 2024
- Last Updated
- Mar 28, 2024
Practice Location
- Address
- 189 CORPORATE DR STE 20
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-2385
- Phone
- (770) 307-8726
Authorized Official
- Name
- SCOT ARMSTRONG
- Title
- MANAGER
- Phone
- (770) 307-8726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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