| NPI | 1487723094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY A FERRARA Sr Vice Chancellor Chief Financial 901-448-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-12-18 |