| NPI | 1992175376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH G MITCHELL Dentist/Owner 901-409-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9000) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |