| NPI | 1770514911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STONE CREST ORAL MAXILLOFA Oral & Maxillofacial Surgeon 615-223-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-12-05 |