| NPI | 1275231292 |
|---|---|
| Doing Business As | MARYVILLE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | AUSTIN OWEN Dentist 865-984-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |