NPI | 1093242885 |
---|---|
Former Legal Business Name | APEX ENDODONTICS OF TN, PLLC |
Entity Type | Organization |
Authorized Contact | THOMAS JOHN HEEREN Owner/Practitioner 615-353-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 9516) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TN 2136) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |