| NPI | 1518260835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PITTS Business Manager 615-890-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7386) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |