| NPI | 1083864102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE MCCLAIN Dental Hygienist/ Office Manager 615-866-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS2859) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2016-08-11 |