Organization
THE ESTATE OF P. LARAY RECTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE G CROSSLIN (ADMINISTRATIVE ASSISTANT)
(931) 359-1900
Entity
Organization
Contact information
Practice address
553 W COMMERCE ST, LEWISBURG, TN 37091
(931) 359-1900
(931) 359-9774
Mailing address
553 W COMMERCE ST, LEWISBURG, TN 37091-3219
(931) 359-1900
(931) 359-9774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4499
TN
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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