| NPI | 1295277804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW BLETZACKER Dentist/Owner 615-883-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS10070) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |