NPI | 1457781379 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELDON M. GRAVES Owner 901-433-0701 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS0000004417) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS0000008876) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2013-11-13 |