| NPI | 1679879415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD A BRYANT Dentist 931-526-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7879) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2016-02-15 |