| NPI | 1447625157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE HARRISON General Dentist 615-509-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 8737) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-18 |