NPI | 1124398805 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LEON PARRISH Dentist/Business Owener 901-853-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN DS3021) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |