| NPI | 1407152135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BRYANT Office Manager 615-353-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 8369) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |