| NPI | 1376858001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CUONG LUU Dentist 615-335-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA de 60035350) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2022-05-31 |