| NPI | 1376902809 |
|---|---|
| Former Legal Business Name | JUST4TEENS |
| Entity Type | Organization |
| Authorized Contact | JENNY V. NUNEZ President/Dentist 423-827-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS9121) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |