| NPI | 1164554168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SUE GROSS President 615-662-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7002) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-05-27 |