| NPI | 1437585346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. WILLIS Owner 615-441-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN 9672) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |