| NPI | 1316958473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT CLARK President 901-309-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN DS0000007499) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |