| NPI | 1124726724 |
|---|---|
| Doing Business As | BOONES CREEK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELISSA GAIL ANDREWS Administrative Assistant 423-282-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |