NPI | 1902655087 |
---|---|
Doing Business As | GOODLETTSVILLE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JEFFREY WILSON MATHEWS Doctor/Owner 615-944-5444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-05-22 |