| NPI | 1811351794 |
|---|---|
| Doing Business As | PRIEST LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | STANLEY AARON MONTEE Owner 615-471-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 8290) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8301) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |