| NPI | 1154569663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CARTER CEO/Dentisit 901-414-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8726) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2012-11-02 |