| NPI | 1518130210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HARRISON TAYLOR Oral And Maxillofacial Surgeon 731-426-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: TN D 7760) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2009-06-15 |