| NPI | 1033361704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA HAMMOND Dental Administration 901-357-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS00005071) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |