| NPI | 1780850735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACANAS HERRING MACK General Dentist 901-452-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7919) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |