NPI | 1558487157 |
---|---|
Entity Type | Organization |
Authorized Contact | LORINE GAIL YEE-SHINSKY Owner 423-420-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS5316) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |