| NPI | 1669840211 |
|---|---|
| Doing Business As | SMYRNA MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TANISHA A JACKSON Owner 615-930-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |