| NPI | 1033386651 |
|---|---|
| Doing Business As | KINGSPORT HEALTH CENTER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARY MAYES Regional Director 423-279-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |