| NPI | 1639472673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H HUGHES Owner 731-286-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 4788) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2012-07-24 |