| NPI | 1598936593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LA'SHAWN BROWN Office Manger 615-321-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 4871) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8039) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |