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Organization
C. SUE VANBLARICUM, DDS, PC
Active
Organization
C. SUE VANBLARICUM, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. SUE VANBLARICUM DDS (PRESIDENT)
(615) 666-6155
Entity
Organization
Contact information
Practice address
412 COLLEGE ST, LAFAYETTE, TN 37083-1705
(615) 666-6155
(615) 666-7525
Mailing address
412 COLLEGE ST, LAFAYETTE, TN 37083-1705
(615) 666-6155
(615) 666-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000005005
TN
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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