NPI | 1104099639 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY WEISS Orthodontist/President 901-767-7370 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 1849) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |