| NPI | 1700102852 |
|---|---|
| Doing Business As | BARREN RIVER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENNIS R CHANEY District Director 270-781-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-08-19 |