| NPI | 1083300222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE BROOK BEGLEY Practice Administrator 423-461-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |