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R Wesley Lauderback Dds Pllc
Dental Clinic/Center in Jonesborough, Tennessee
NPI 1679216576

R Wesley Lauderback Dds Pllc is a Dental Clinic/Center based in Jonesborough, TN and is specialized in Dental. R Wesley Lauderback Dds Pllc practices in Jonesborough, TN. The NPI Number for R Wesley Lauderback Dds Pllc is 1679216576 and holds a License No. (Tennessee).

The current practice location address for R Wesley Lauderback Dds Pllc is 222 Headtown Rd, Jonesborough, TN and can be reached out via phone at 423-753-9191.

Location: 222 Headtown Rd, Jonesborough, TN, 37659-5073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679216576
Provider Name
R Wesley Lauderback Dds Pllc
Credential
Provider Entity Type
Organization
Address
222 Headtown Rd, Jonesborough, TN, 37659-5073
Phone Number
423-753-9191
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
222 Headtown Rd
City
Jonesborough
State
Tennessee
Zip
37659-5073
Phone Number
423-753-9191
Fax Number
person
Provider Business Mailing Address Details
Address
222 Headtown Rd
City
Jonesborough
State
Tennessee
Zip
37659-5073
Phone Number
423-753-9191
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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