| NPI | 1881406627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MEKONNEN CEO 615-584-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 292200000X Dental Laboratory | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |