| NPI | 1144473265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S DOCTORA Oral Surgeon 615-220-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS7268) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |