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 |