| NPI | 1619005717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORPHEUS TRIPLETT President 901-324-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4439) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |