| 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 |