| NPI | 1891154373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE HARRISON Owner/ General Dentist 615-991-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 8737) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |