| NPI | 1629129242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVELACE PRESTON GIPSON Managing Member 901-525-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 2550) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-10-08 |