| NPI | 1164710331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT MONEX HOLMES Dentist/Owner 901-619-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN DS0000007908) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |