| NPI | 1982204186 |
|---|---|
| Other Name | DEKALB DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GINA TATUM Office Manager 615-597-4798 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-11-17 |