NPI | 1730462458 |
---|---|
Former Legal Business Name | HARRISS FAMILY DENTISTRY LLC |
Entity Type | Organization |
Authorized Contact | MOLLY K HARRISS Director 865-379-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 7985) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2012-12-04 |