| NPI | 1265393607 |
|---|---|
| Doing Business As | NORTHSHORE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JUDGE Owner 423-471-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |