NPI | 1427899285 |
---|---|
Other Name | KNOX TOT PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | WILLIAM ANDREW MALLARD Owner 731-445-4007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-06-05 |