| NPI | 1750444899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT G STEIN President 901-755-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TN TN002165) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |