| NPI | 1972202711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL GARDNER Oral And Maxillofacial Surgeon 615-585-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |