| NPI | 1972023687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN M MEDWED Dentist/Owner 615-292-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 10326) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |