| NPI | 1023498250 |
|---|---|
| Doing Business As | MID TN DENTISTRY ANTIOCH |
| Entity Type | Organization |
| Authorized Contact | DANNY NORTHCUTT Manager 615-310-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TN TN7885) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |