| NPI | 1427047430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D FEWELL Partner 931-455-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-07-21 |