| NPI | 1639342256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MCDANIEL Orthodontist 423-472-9930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS8122) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |