| NPI | 1861474694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C. BURCHFIELD Chief Manager 615-822-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-03-07 |