BIVENS DENTAL GROUP PC

NPI # 

Practice Address:

5103 Highway 100

Lyles, TN, 37098-1879

Practice Phone:

931-670-5961

License Number:

6858

License State:

TN

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X