NPI | 1649679002 |
---|---|
Entity Type | Organization |
Authorized Contact | RILEY H LUNN Dentist 423-892-5137 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 1902) |
Additional Taxonomies | 122300000X Dentist (Licence: TN 4709) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2015-11-19 |