| NPI | 1538338579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL T MCCORD Owner 423-479-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS3297) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2013-02-08 |