| NPI | 1356711717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E RUDER Owner 901-412-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3450-08) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |