| NPI | 1275083552 |
|---|---|
| Doing Business As | NORTHSHORE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FLANAGAN WEBB Owner 423-362-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 9112) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |