| NPI | 1669599080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HERMAN CROWDER President 901-753-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TN DS0000002728) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |