NPI | 1376966143 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN D LUCAS Orthodontist 615-807-2018 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS7361) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2014-01-29 |