NPI | 1194249698 |
---|---|
Doing Business As | SEQUOYAH DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | PABLO A FONCEA Dentist 865-973-9899 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-07-27 |
Last Update Date | 2020-09-08 |