| NPI | 1780867093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WAYNE CARRIER President 901-682-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS0000002466) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS0000007571) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |