| NPI | 1720332539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T JOHNSON Owner/Doctor 615-956-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 7261) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2014-04-28 |