NPI | 1700875879 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS WOODROW ONSTOTT President 615-384-2659 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 2943) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2020-08-22 |