| NPI | 1609235712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA M LOVEDAY Office Manager 865-982-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 5322) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |