| NPI | 1063686772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEOLA O. FALEYE CEO, Owner 901-377-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS0000007616) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |