| NPI | 1689948242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC DUNN DDS CEO 901-213-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 292200000X Dental Laboratory |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |