| NPI | 1457591190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T BARKER President 865-691-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS 3638) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS 5278) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |