| NPI | 1184847329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD EDWARD PILLION Owner 423-968-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN DS8560) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: TN DS2467) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |