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 |