| NPI | 1134391154 |
|---|---|
| Doing Business As | BRISTOL ORAL/MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DONALD SMITH REDFORD Surgeon/Owner 423-968-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN ds003845) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2013-08-10 |