NPI | 1982108759 |
---|---|
Doing Business As | 901 DENTAL |
Entity Type | Organization |
Authorized Contact | DANIELLE DAVIS Member/Dentist 901-235-0709 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 10530) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2018-04-11 |