| NPI | 1891823084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DOUGLAS THOMAS President 901-377-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4386) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 2880) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-08-17 |