| NPI | 1144492851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL GARRETT Dentist/Owner 931-552-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS 3433) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |