| NPI | 1104621820 |
|---|---|
| Doing Business As | BIG RIDGE FAMILY AND COSMETIC DENTISTRY |
| Doing Business As | BRUSH HOUSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GUSTAVO DANIEL MORETTA Owner 423-877-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |