| NPI | 1851425193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NELSON CASTLE Chief Manager 901-685-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS 5412) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |