C. Sue Vanblaricum, Dds, PC

NPI #1710091681 in Lafayette, Tennessee

Provider Information

NPI Number: 1710091681
Entity Type: Organization
Organization Name: C. Sue Vanblaricum, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 412 COLLEGE ST
City: Lafayette
State: Tennessee
ZIP Code: 37083-1705
Phone: (615) 666-6155

Authorized Official

Name: DR. C. SUE VANBLARICUM, DDS
Title: PRESIDENT
Phone: (615) 666-6155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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