| NPI | 1447394788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DWIGHT WEST Periodontist 615-385-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN 7163) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-04-15 |