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K. Darrel Clabough Dds, P.c.

NPI #1043631401 in Greenback, Tennessee

Provider Information

NPI Number
1043631401
Entity Type
Organization
Organization Name
K. Darrel Clabough Dds, P.c.
Primary Specialty
Dentist
Enumeration Date
Jan 2, 2014
Last Updated
Jan 2, 2014

Practice Location

Address
1565 SALEM LOOP
City
Greenback
State
Tennessee
ZIP Code
37742-3201
Phone
(865) 803-9100

Authorized Official

Name
DR. KENNETH DARREL CLABOUGH, D.D.S.
Title
OWNER/PROVIDER
Phone
(865) 983-0941

Specialties & Taxonomy Codes

Specialty
Dentist

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