| NPI | 1114169661 |
|---|---|
| Doing Business As | THE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONALD G. SOWELL Executive Vice President 270-781-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |