| NPI | 1467992149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL W. ALDRIDGE Orthodontist/Owner 423-296-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 9431) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |