| NPI | 1104362946 |
|---|---|
| Doing Business As | CLARKSVILLE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOAN THANH TO Owner Dentist 931-202-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |