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 |