NPI | 1538313598 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK H WEBB Owner 423-968-5112 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN DS3188) |
Additional Taxonomies | 122300000X Dentist (Licence: TN DS8042) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2008-11-04 |