| NPI | 1164709531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HAGAN President 423-239-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN DS8925) |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2023-12-14 |