| NPI | 1588984298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA-MARIE D PORTER Dentist/Owner 615-449-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8643) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-08-25 |