| NPI | 1770138513 |
|---|---|
| Doing Business As | 4TH STREET DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | ROBERT DONALD WOOD Owner Dentist 615-586-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |