| NPI | 1730918251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MELVIN TEMPLETON Co Owner 615-800-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-10-28 |