| NPI | 1063536563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A BROOKS Owner 423-265-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000001908) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |