| NPI | 1184920985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BUTLER-MITCHELL Owner/Dentist 615-220-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 07913) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |