NPI | 1982143210 |
---|---|
Doing Business As | LIFETIME DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEVEN HERNANDEZ Owner 615-646-5595 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 8635) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2017-02-20 |