| NPI | 1821161969 |
|---|---|
| Other Name | SHALLOWFORD FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES VICTOR ANKAR Owner 423-892-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN TN7970) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |