| NPI | 1497142137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDFORD W PRINCE Oral Surgeon 423-467-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TN DS0000009647) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |