| NPI | 1497168579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ KRAMLICH Front Desk 423-894-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4766) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |