NPI | 1578067245 |
---|---|
Doing Business As | CREATIVE DENTISTRY, P.C. |
Entity Type | Organization |
Authorized Contact | NICHOLAS FERGUSON President/ Dentist 615-321-0922 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-03-19 |
Last Update Date | 2018-03-19 |