| NPI | 1871755033 |
|---|---|
| Former Legal Business Name | GERMANTOWN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN WHITTEMORE Owner 901-754-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |