NPI | 1215012430 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIANN BINGHAM Billing Manager 901-448-2801 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-10-26 |
Last Update Date | 2015-08-28 |