Richland Creek Dental LLC

NPI #1386193068 in Dayton, Tennessee

Provider Information

NPI Number: 1386193068
Entity Type: Organization
Organization Name: Richland Creek Dental LLC
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2016
Last Updated: Sep 23, 2016

Practice Location

Address: 1272 MARKET ST
City: Dayton
State: Tennessee
ZIP Code: 37321
Phone: (423) 834-9900

Authorized Official

Name: DR. MCKENZIE BOLING, DDS
Title: OWNER DENTIST
Phone: (423) 834-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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