| NPI | 1396142485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE G CROSSLIN Administrative Assistant 931-359-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 4499) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |