| NPI | 1548626047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ALDRIDGE President 423-296-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 9431) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |