| NPI | 1053584953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S DOCTORA Owner 615-773-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 7268) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |