| NPI | 1306915236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN WATSON KNIERIM Owner 865-522-7572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 7868) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |