NPI | 1407094121 |
---|---|
Entity Type | Organization |
Authorized Contact | MILTON SISKIN Owner / Dentist 901-685-1152 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4206) |
Enumeration Date | 2009-02-03 |
Last Update Date | 2009-02-03 |