NPI | 1114716966 |
---|---|
Entity Type | Organization |
Authorized Contact | KATELYN FERGUSON Practice Manager 615-428-3912 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-05-06 |
Last Update Date | 2025-05-06 |