| NPI | 1922568666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STUART MCKENZIE Owner 615-441-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2021-08-26 |