| NPI | 1285371187 |
|---|---|
| Doing Business As | MT JULIET MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JUDGE Owner 615-716-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-05-25 |