| NPI | 1104310895 |
|---|---|
| Other Name | DEREK RENFROE, DMD |
| Entity Type | Organization |
| Authorized Contact | JORDAN DAVIS Office Manager 931-232-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 9114) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |