NPI | 1417353830 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ANTHONY EATON President 901-267-2294 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: ID D-4611-EN) |
Enumeration Date | 2014-11-12 |
Last Update Date | 2014-11-12 |