| NPI | 1336528207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE A GRIDER Dentist/Owner 615-867-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 8431) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10050) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |