| NPI | 1609045830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY K HARRISS Owner/President 865-379-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7985) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |