| NPI | 1851563423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JEROME BURR Orthodontist 615-390-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 8270) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |