| NPI | 1376831073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL REESE Dentist/Owner 901-476-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7271) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2012-08-08 |