| NPI | 1740442649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD EDWARD PILLION Owner 865-687-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS0000008560) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |