| NPI | 1629029657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY DREW OSBORN Owner/Dentisit 865-977-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 7965) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |