| NPI | 1407247380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM DAVIS Owner 615-758-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 7886) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TN 9279) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |