| NPI | 1215935614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAD S CHITALIA President 901-323-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS3559) |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2020-08-22 |