| NPI | 1053687368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LITTLEJOHN Partner 615-646-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9408) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9402) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |