NPI | 1245492297 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTH E ROSS Owner 615-321-3663 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS00000007624) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2008-07-01 |