| NPI | 1457579872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDA ANN HOLLERMAN President 901-679-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7837) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-06-20 |