| NPI | 1104587054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J ROBINSON Member Manager/Orthodontist 615-834-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-02-01 |