| NPI | 1851699284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. WALL General Partner Owner 931-647-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4228) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2017-02-14 |