| NPI | 1871542019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY WILLIAMS Director, Licensing & Credentialing 615-750-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2010-05-17 |