| NPI | 1780136960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN LEHMAN-GRIMES President 615-384-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TN DS7988) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |