NPI | 1699281790 |
---|---|
Former Legal Business Name | WEST END SMILES, PLC |
Entity Type | Organization |
Authorized Contact | IVANA K. HRSTIC Dentist 615-327-4904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 8146) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2017-12-27 |