NPI | 1023609260 |
---|---|
Doing Business As | MT. JULIET FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ZACHARY BERRY Owner 615-758-2085 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-01-31 |
Last Update Date | 2021-01-31 |