| NPI | 1588833461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBEN A DEARMOND President Owner 423-476-7696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS3955) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS4665) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |