| NPI | 1699288175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HOMONNAY Dentist 615-221-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS3961) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10475) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-04-25 |