| NPI | 1700229713 |
|---|---|
| Doing Business As | UNION AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOE D O'NEAL President 901-276-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 3438) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |