| NPI | 1194013151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D ALBURY Owner 615-327-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS3034) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |