NPI | 1689399610 |
---|---|
Doing Business As | KNOX LEGACY DENTAL |
Entity Type | Organization |
Authorized Contact | FAYE MCKELVEY Office Manage 865-660-1578 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-12 |
Last Update Date | 2022-10-12 |