| NPI | 1609549740 |
|---|---|
| Former Legal Business Name | LIVING TREE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROB JOHNSON Admin 865-531-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |