Organization
DR. VANVRANKEN & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVENA FAYE PEAVYHOUSE CDA, RDH, MPH (OFFICE MANAGER/HYGIENIST)
(931) 454-0001
Entity
Organization
Contact information
Practice address
1958 N JACKSON ST, TULLAHOMA, TN 37388-2204
(931) 454-0001
(931) 454-0973
Mailing address
1958 N JACKSON ST, TULLAHOMA, TN 37388-2204
(931) 454-0001
(931) 454-0973
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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