| NPI | 1659580561 |
|---|---|
| Other Name | COOL SPRINGS PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | HEATHER KECK RIDGWAY Periodontist 615-887-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN 8575) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |