| NPI | 1558533844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BRADLEY CLAYBORNE Front Office COO Rdinator 865-984-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 6927) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-04-14 |