| NPI | 1114199734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA NKUNGULA-HOWLETT Owner/Dentist 615-832-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TN DS7570) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |