| NPI | 1215032438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN PETTY Office Manager 615-441-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS0000007915) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-06-23 |