| NPI | 1053543926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WHITEFIELD President 615-598-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8685) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |