| 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 |