| NPI | 1225263460 |
|---|---|
| Other Name | TENNESSEE ORAL & MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | MINA H HARRIS Office Manager 615-419-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS7219) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS4607) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |