| NPI | 1023256393 |
|---|---|
| Former Legal Business Name | HICKORY HILL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LEE MYERS Dentist/Owner 901-797-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS7039) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2013-07-23 |