NPI | 1629262399 |
---|---|
Former Legal Business Name | JOSHUA A BRINK, DDS |
Entity Type | Organization |
Authorized Contact | JOSHUA A BRINK Owner 901-382-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2007-09-05 |
Last Update Date | 2015-01-21 |