| NPI | 1033311535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA GRAVELY-GRIFFIN President 615-339-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 8079) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-08-29 |