| NPI | 1326417635 |
|---|---|
| Doing Business As | SPECIAL CARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RANDALL L RUDOLPH Owner 855-259-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS0000002831) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |