| NPI | 1942456801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY EARL GEAN Dentist 615-822-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7711) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |