| NPI | 1548388812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M HARRIS Practice Manager 901-861-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 7060) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-07-31 |