| NPI | 1538301411 |
|---|---|
| Other Name | UNION AVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOE ONEAL Owner 901-276-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN ds3438) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2015-07-14 |