| NPI | 1396953063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH WILSON President 615-371-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS4693) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |