| NPI | 1578948683 |
|---|---|
| Doing Business As | GREATER CHATTANOOGA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JAMES E LARSON Owner 423-296-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TN 4503) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |