| NPI | 1083416218 |
|---|---|
| Doing Business As | DOWNTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARCY KAY Insurance Administrator 423-762-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |