| NPI | 1225701493 |
|---|---|
| Doing Business As | HICKORY PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN LEE Dds 615-988-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |