| NPI | 1821262601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A GREEN Owner/Orthodontist 931-542-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 8151) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |