| NPI | 1063900595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ADAMS Owner 615-601-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV S7-88C) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NV S7-881) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |