| NPI | 1962706754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELL STRINGER Manager, Licensing & Credentialing 615-750-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2013-06-11 |