| NPI | 1265784631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN SPENCER Dentist/Owenr 615-942-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 9155) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2013-09-20 |