| NPI | 1730290255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ARTIST Treasurer 615-872-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 5016) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8244) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-16 |