NPI | 1063665040 |
---|---|
Former Legal Business Name | IN CARE OF STEVE R. LYNN, DDS |
Entity Type | Organization |
Authorized Contact | STEVE R. LYNN President 931-455-8003 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS0000005201) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2008-11-04 |