NPI | 1851878292 |
---|---|
Doing Business As | DR MAX S BREAZEAL DDS PLLC |
Entity Type | Organization |
Authorized Contact | LISA HENLEY Office Manager 901-377-3988 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4147) |
Enumeration Date | 2018-07-27 |
Last Update Date | 2018-07-27 |