| NPI | 1659156719 |
|---|---|
| Doing Business As | CRYSTAL CLEAR FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SARAH MEKONNEN CEO/Owner 615-584-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |