NPI | 1225202898 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES D FISHER Dentist 865-546-7436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN DS0000004867) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |