| NPI | 1063539393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER SAMUEL GILL Pediatric Dentist 423-894-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 1833) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |