| Lebanon Family Dentistry Llc | |
|
1430 W Baddour Pkwy Ste B Lebanon TN 37087-2656 | |
| (931) 704-0834 | |
| Not Available |
| Full Name | Lebanon Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1430 W Baddour Pkwy Ste B, Lebanon, Tennessee |
| Authorized Official Name and Position | Robin Ricardo Daniel (OWNER) |
| Authorized Official Contact | 6158302176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Family Dentistry Llc 1430 W Baddour Pkwy Ste B Lebanon TN 37087-2656 Ph: (931) 704-0834 | Lebanon Family Dentistry Llc 1430 W Baddour Pkwy Ste B Lebanon TN 37087-2656 Ph: (931) 704-0834 |
| NPI Number | 1295593457 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295593457 | NPI | - | NPPES |
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