| NPI | 1245335124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M. BOWLES President 865-546-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 1763) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-06-12 |