| NPI | 1578972774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA CLEMENTS President/Dentist 931-685-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9671) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 3046) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |