| NPI | 1679747927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH KEEN Sole Owner, Dentist 615-896-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN TNDS 7684) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |