| NPI | 1821200361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HOLDER Office Manager 615-385-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS2472) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-06-16 |