| NPI | 1780700559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJI A OGUNDIYA Oral Surgeon 615-327-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS5165) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |