CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC

CLARKSVILLE, TN
NPI1073748042
Former Legal Business NameCLARKSVILLE ORAL AND MAXILLOFACIAL SURGERY
Entity TypeOrganization
Authorized ContactJASON SCOTT LILLY
Owner
931-552-7575
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TN  4003)
Enumeration Date2009-05-20
Last Update Date2016-06-15
Business Address
CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC
1718 MEMORIAL DR
CLARKSVILLE, TN 37043-4542
Phone number: 931-552-4935
Mailing Address
CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC
1718 MEMORIAL DR
CLARKSVILLE, TN 37043-4542
Phone number: 931-552-4935