| NPI | 1770594178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MILTON MARTIN Owner 615-851-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 2897) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8404) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-06-26 |