| NPI | 1134809205 |
|---|---|
| Doing Business As | GRAND VALLEY ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | CALLEE CLARK Endodontist 901-679-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |