| NPI | 1700243102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK F HARDISON Owner 615-893-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 7248) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |