| NPI | 1073910725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D LUCAS President 615-327-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS7361) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |