| NPI | 1861406829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY WILLIAMS Director, Licensing & Credentialing 615-750-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-05-17 |