| NPI | 1235681552 |
|---|---|
| Doing Business As | IMPLANT AND GENERAL DENTISTRY OF MIDDLE TENNESSEE |
| Entity Type | Organization |
| Authorized Contact | WALTER C. CHITWOOD Owner/ Dentist 615-893-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |