| NPI | 1831361013 |
|---|---|
| Doing Business As | TENNESSEE IMPLANT & ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL KEITH KIRK President 615-453-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 7103) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2011-05-03 |