| NPI | 1548909294 |
|---|---|
| Doing Business As | LMU DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SABRINA LAYEL Assistant Vice President Finance 423-869-6229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| 124Q00000X Dental Hygienist | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-05-03 |