| NPI | 1518066059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAMES LOCASCIO Owner President 865-769-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TN TN7446) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |