NPI | 1164234910 |
---|---|
Doing Business As | WOODBRIDGE FAMLIY AND IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | MOHAMED M ELGHANNAM CEO 615-499-0438 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-01-22 |