NPI | 1679899538 |
---|---|
Entity Type | Organization |
Authorized Contact | JENELL STRINGER Manager, Licensing & Credentialing 615-750-0343 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-04-15 |
Last Update Date | 2013-06-11 |