| NPI | 1023122793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CHARLES CARVER President 865-654-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 3962) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |