| NPI | 1447352372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WAYNE LAFEVER President 615-758-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TN DS0000004058) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-01-05 |