| NPI | 1326449067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OWSLEY Owner 931-528-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TN 9783) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |