| NPI | 1073744306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOCH MATISON HAMMON Corporation President 423-667-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 01872) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |