| NPI | 1477549178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCI DENISE RAINES Practice Manager 423-877-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TN DS1918) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-05-05 |