| NPI | 1861557555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY PATRICK WERNER Partner 901-767-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS1780) |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2020-08-22 |