| NPI | 1477880490 |
|---|---|
| Doing Business As | THREE RIVERS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN CONNOLLY President 615-907-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8779) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |