| NPI | 1114218179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT FOSTER Owner/Dentist 615-883-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 3904) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |