| NPI | 1689056624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILAM PATEL Owner 423-282-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS9209) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS4053) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |