NPI | 1003087958 |
---|---|
Doing Business As | SMILE GALLERY |
Entity Type | Organization |
Authorized Contact | CHADWICK LEE WILLIAMS Owner/President 615-444-2069 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN Tn7866) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2010-09-22 |