| NPI | 1902194947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH DOUGLAS HOLLIDAY Partner Dentist 615-331-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8711) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 2364) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |