NPI | 1407156300 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL EDWARD PHILLIPS Owner/Dentist 865-357-5560 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8478) |
Enumeration Date | 2010-10-25 |
Last Update Date | 2010-10-25 |