| NPI | 1699252783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CLIFTON SIMMONS Owner 615-329-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 3219) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |