NPI | 1851288567 |
---|---|
Doing Business As | RADICAL WELLNESS |
Entity Type | Organization |
Authorized Contact | PAIGE PRATHER Owner/Dentist 615-587-4494 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-06-24 |
Last Update Date | 2025-06-24 |