| NPI | 1942846795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MICHAEL CHAFIN Owner 615-236-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-06-30 |