NPI | 1417941469 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RAY HIGHT Owner Orthodontist 731-427-1696 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS3336) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2018-05-10 |