| NPI | 1043670896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD FISHER President 615-948-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000009877) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |