NPI | 1982723763 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EDWARD CLARK President 615-361-6570 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 2727) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |