| NPI | 1487045811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L PARKER Owner/President 865-805-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7317) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |