| NPI | 1194873307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE STRAIN NEWBERRY President 615-302-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN TNDS7323) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |