| NPI | 1285284604 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JENELL STUMP Sr. Licensing & Credentialing 615-487-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-03-27 |