| 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 |