| NPI | 1508562166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LUCAS Owner 615-377-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |