| NPI | 1578341335 |
|---|---|
| Doing Business As | NORTHCREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | RUDOLPH DEAN LANG Doctor/Owner 615-206-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |