| NPI | 1326434085 |
|---|---|
| Other Name | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | JODI E RUMP Owner 901-527-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN DS0000007994) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |