| NPI | 1639720295 |
|---|---|
| Doing Business As | KNOXVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Operations 504-638-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2022-10-18 |