| NPI | 1174004170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUMMITT CEO 855-535-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TN DS8806) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |