| NPI | 1720125545 |
|---|---|
| Doing Business As | MCRO MOBILE DENTAL UNIT |
| Entity Type | Organization |
| Authorized Contact | ANNETTE HALEY Regional Director 615-650-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-08-28 |