| NPI | 1245713528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON LUCAS President 615-377-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |