| NPI | 1336863257 |
|---|---|
| Doing Business As | MARYVILLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY HUGHES Office Manager 865-440-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |