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 |