| NPI | 1114144755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL W. CROSS Dentist 865-690-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000004705) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |