| NPI | 1124295480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P MCDONALD Preident/Oral Surgeon 423-296-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 7277) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |