NPI | 1043994098 |
---|---|
Former Legal Business Name | THE GREENLINE DENTIST |
Entity Type | Organization |
Authorized Contact | PAIGE GASSMANN Dentist/Owner 901-254-8022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-07-31 |