| NPI | 1437557378 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY, P.C. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES KOCH Business Manager 865-558-8857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 9902) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 3722) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |