Organization
LOVELY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN GARY LOVELY JR. D.D.S. (OWNER)
(865) 604-6227
Entity
Organization
Contact information
Practice address
400 N HICKS ST, CLINTON, TN 37716-2970
(865) 604-6227
Mailing address
400 N HICKS ST, CLINTON, TN 37716-2970
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7792
TN
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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