| NPI | 1639296437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW W. MOSELEY President 931-552-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 3259) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |