Individual
IYSHA CAWTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2226
(931) 245-3333
Mailing address
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2226
(931) 245-3333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12300
TN
1223P0221X
Pediatric Dentistry
16735
MD
Other
Enumeration date
04/16/2017
Last updated
08/22/2023
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