| NPI | 1346578705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHIE A BERTRAND Owner 615-837-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8267) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |