Organization
AB DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BOLING (OWNER)
(931) 588-3199
Entity
Organization
Contact information
Practice address
1513 N JACKSON ST, TULLAHOMA, TN 37388-2343
(931) 588-3199
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-7088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
06/13/2023
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