Individual
DR. BRIAN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 GUM BRANCH RD, BURNS, TN 37029-5103
(615) 441-3678
Mailing address
201 GUM BRANCH RD, BURNS, TN 37029-5103
(615) 441-3678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10175
TN
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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