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 |