R Wesley Lauderback DDS Pllc
NPI #1679216576 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1679216576
- Entity Type
- Organization
- Organization Name
- R Wesley Lauderback DDS Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 18, 2022
- Last Updated
- Apr 18, 2022
Practice Location
- Address
- 222 HEADTOWN RD
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-5073
- Phone
- (423) 753-9191
Authorized Official
- Name
- DR. RICHARD W LAUDERBACK, DDS
- Title
- OWNER/DENTIST
- Phone
- (423) 741-0120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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