NPI | 1144667908 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE D HURST Practice Manager 423-587-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS8950) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2013-06-03 |