| NPI | 1558551515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN COYNE Owner 615-771-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 7339) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |