| NPI | 1649635947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE H HARRISON General Dentist 615-991-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 8737) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |