| NPI | 1073774360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON CLARK HIGGS Owner 615-859-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS7609) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |