| NPI | 1447536776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN H CRAM Secretary 615-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TN 8951) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |