| NPI | 1649442252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE POTTER Front Office Manager 615-824-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN DS3056) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |