| NPI | 1669644878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIS EDWARDS WILLIAMS Owner 901-362-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN OS168) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS2570) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-04-20 |