| NPI | 1679875033 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MICHEAL KING President 615-293-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 14203) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |