| NPI | 1972997906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WILBURN Owner/Dentist 931-840-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 9089) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |