Organization
C. SUE VANBLARICUM, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. SUE VANBLARICUM DDS (PRESIDENT)
(615) 666-6155
Entity
Organization
Contact information
Practice address
412 COLLEGE ST, LAFAYETTE, TN 37083-1705
(615) 666-6155
(615) 666-7525
Mailing address
412 COLLEGE ST, LAFAYETTE, TN 37083-1705
(615) 666-6155
(615) 666-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000005005
TN
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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