NPI | 1508194515 |
---|---|
Former Legal Business Name | AFFORDABLE DENTAL & DENTURE LLC |
Entity Type | Organization |
Authorized Contact | STEVEN ERIC SCALLIONS Owner Of Affordable Dental And Dent 731-215-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN TNDDS#7889) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN DS8971) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2019-07-23 |