NPI | 1801015425 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE A GALELLA Manager 901-853-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 3221) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 6944) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |