| NPI | 1053706598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WESLEY SMILEY Owner 615-678-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS8039) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |