| NPI | 1134868284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SJURSEN Owner/ Dentist 615-591-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |