| NPI | 1013095207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCI RAINES Practice Manager 423-877-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS1918) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |