| NPI | 1063685501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ADRAIN HUDSON Owner/Dentist 901-526-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000007059) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-06-18 |