NPI | 1467025866 |
---|---|
Doing Business As | CULLMAN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MALLORY SAMUELSON Operations Manager 615-631-9226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-07-22 |
Last Update Date | 2023-09-12 |