| NPI | 1861560815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PALOMAKI Owner 931-431-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8672) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 7505) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-03-31 |