| NPI | 1376362830 |
|---|---|
| Doing Business As | SHALLOWFORD SMILES |
| Entity Type | Organization |
| Authorized Contact | BRIAN WILKINSON Owner/Dentist 423-364-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |