| NPI | 1205103553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WESLEY SMILEY Owner 615-969-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS8039) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |