| NPI | 1154407906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B ALICIA GRIFFIN Dentist President Of Corporation 615-333-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS-4440) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |