| NPI | 1528218369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRADLEY DAVIS Member 423-876-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 7984) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2011-03-03 |