NPI | 1528162930 |
---|---|
Entity Type | Organization |
Authorized Contact | WEBER W MANNING President Professional Corporation 901-767-2290 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 3791) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2020-08-22 |