| NPI | 1841710027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LEIGHTON RHOADS Manager 901-258-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 393017) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |