East Tennessee Oral & Maxillofacial Surgery, PC
NPI #1942510946 in Morristown, Tennessee
Provider Information
- NPI Number
- 1942510946
- 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
- 1551 E MORRIS BLVD
- City
- Morristown
- State
- Tennessee
- ZIP Code
- 37813-5729
- Phone
- (423) 587-8383
Authorized Official
- Name
- DR. MARK M WIDLOSKI, DDS
- Title
- OWNER
- Phone
- (865) 983-8630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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