| NPI | 1356638472 |
|---|---|
| Doing Business As | NEW IMAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALIREZA ALLEN BLOURCHIAN CEO 615-591-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS5340) |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2011-07-10 |