| NPI | 1043426380 |
|---|---|
| Other Name | SOPHISTICATED SMILES |
| Entity Type | Organization |
| Authorized Contact | ANGELA R CAMERON Owner 423-928-8359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7973) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |