| NPI | 1922271642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GENTZLER Office Manager 615-443-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 7882) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |