Organization
REST ASSURED LLC
Active
Parent organization
REST ASSURED LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REST ASSURED LLC
Authorized official
MALCOLM SHABO DDS (OWNER)
(423) 488-7199
Entity
Organization
Contact information
Practice address
4245 N OCOEE ST SUITE 4, CLEVELAND, TN 37312-4999
(423) 488-7199
Mailing address
4245 N OCOEE ST SUITE 4, CLEVELAND, TN 37312-4999
(423) 488-7199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
12/13/2019
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