| NPI | 1730502444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DARREN VAUGHAN Owner 615-383-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 005342) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |