| NPI | 1154564474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT STUART MILLER Owner/Doctor 615-595-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TN 7855) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |