NPI | 1740797208 |
---|---|
Doing Business As | CHATTANOOGA DENTAL CARE |
Entity Type | Organization |
Authorized Contact | TY V. JUSTICE Director, Credentialing 513-609-4076 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2018-01-05 |
Last Update Date | 2023-05-03 |