| NPI | 1285937912 |
|---|---|
| Doing Business As | DOWNTOWN DENTAL SERVICE |
| Entity Type | Organization |
| Authorized Contact | JESSE DARON CLARK Owner 615-254-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |