| NPI | 1922395185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WHITEFIELD Owner 615-889-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8685) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |