| NPI | 1487082434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S DOCTORA Owner 931-455-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |