| NPI | 1053893024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER C. FLEENOR Dentist 615-298-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10515) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-10-03 |