| NPI | 1760614606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W EDGE President 615-370-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS02226) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |