| 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 |