| NPI | 1659546455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOMA GWEBU Office Manager 615-327-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 8035) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |