| NPI | 1801887005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVO ODDS Owner/Dentist 615-793-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7854) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-02-01 |