| Provider Type: | Dental Providers |
| Provider Classification: | Dentist |
| Provider Specialization: | General Practice |
| Definition of Specialization: | |
| Address: |
7446 Shallowford Rd Suite 100 Chattanooga, TN 37421-8815 |
| Phone: | (423) 899-2800 |
| Fax: | (423) 899-2033 |
| Gender: | Male |
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