| NPI | 1740574458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN B. WIESEMANN Orthodontists/Owner 615-325-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 8503) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |