| NPI | 1235213869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWIN BROOKSBANK President 931-528-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-07-10 |