| NPI | 1144732686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HUGH SULLIVAN Dentist 615-373-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TN 10036) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |