| NPI | 1083914378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER R BUTLER Office Manager 931-381-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: TN 7881) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |