| NPI | 1932341864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SMITH Office Manager 615-384-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8414) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |