| NPI | 1558556811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ERIC FOWLER Owner/Orthodontist 615-591-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 8634) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |