| NPI | 1083901573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC YEZERSKI Owner/Dentist 615-591-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8826) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-07 |