NPI | 1821046434 |
---|---|
Entity Type | Organization |
Authorized Contact | TRUDY WILLIAMS Director, Licensing & Credentialing 615-750-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-05-05 |
Last Update Date | 2010-05-17 |