| NPI | 1730547217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L BROWN Dmd/Practice Owner 423-538-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS0000009827) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |