| NPI | 1346588282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN MONTEE Owner/Dentist 931-645-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 8290) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9114) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |