| NPI | 1396121000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTLAND CALDEMEYER Owner 931-525-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 9568) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |