| NPI | 1184762684 |
|---|---|
| Other Name | CHATTANOOGA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY WALKER SUNDSTROM Owner 423-894-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN D57688) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN D53493) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-10-30 |