| NPI | 1447659081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F TREMBLEY Dentist 931-919-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8646) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |