| NPI | 1760985360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID KIRBY Owner/Sole Member 615-327-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 8899) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-10 |