| NPI | 1356954838 |
|---|---|
| Doing Business As | TENNESSEE FAMILY DENTAL LA VERGNE |
| Entity Type | Organization |
| Authorized Contact | RYAN MARK O'NEILL Owner / Dentist 615-280-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |