NPI | 1346459385 |
---|---|
Doing Business As | SHELBYVILLE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAM A CHAMBERLAND Owner/President 931-684-9167 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TN DS0000007464) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2016-03-30 |