| NPI | 1740734714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA R WATSON Office Manager 615-320-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8932) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |