| NPI | 1417365578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO J LOPEZ Owner/Dentist 423-362-7962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9587) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |