| NPI | 1023158185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA F PATTON Office Manager 901-761-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN DS7731) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |