| NPI | 1952425282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI STUHR Office Manager 901-382-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS2722) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-12-13 |