| NPI | 1356898191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KEITH JONES Pediatric Dentist 901-359-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AR 3877) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |