| NPI | 1003329558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ROBERT FLIPSE Owner/Dentist 615-893-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 10134) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |