| 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 |