| 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 |