| NPI | 1336920321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MURPHY Owner 423-457-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |