| NPI | 1083338644 |
|---|---|
| Doing Business As | MARYVILLE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LAURA BULL Office 865-483-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |