| NPI | 1427569664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE MICHELE FISHEL Dental Hygienist 865-441-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TN DS9854) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |