| 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 |