| NPI | 1346474541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ERIC SCALLIONS Owner 931-454-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 7889) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 4464) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2014-01-09 |