| NPI | 1043568595 |
|---|---|
| Other Name | OTTERPOHL DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. OTTERPOHL Owner 615-331-0402 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY ds3687) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN ds9497) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |