| NPI | 1427222108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM EVANS Owner 615-302-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8181) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |