| NPI | 1245416429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD CLAY PEEPLES President 615-859-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS0000002901) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |