| NPI | 1114100070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L DUGAN Owner/Member 423-745-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN DS0000001804) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |