| NPI | 1407000417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL T DEASON Dentist 615-563-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN ds3575) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |