| NPI | 1366999849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYAN FERDOWSI Owner/Dentist 615-758-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 9932) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |