NPI | 1417616384 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL MOODY Sleep Coordinator 615-278-6003 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-08 |