| NPI | 1821825803 |
|---|---|
| Former Legal Business Name | CHAMPION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DARRYL CHAMPION President 615-554-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |