| NPI | 1598123986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F PROCTOR Owner 901-821-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN ds1774) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-03 |