NPI | 1487710687 |
---|---|
Doing Business As | TRI-CITIES ORTHODONTIC SPECIALISTS |
Entity Type | Organization |
Authorized Contact | LEIGHTON W WOOD Owner 423-392-9898 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TN 3117) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2012-10-24 |