NPI | 1750720108 |
---|---|
Doing Business As | KNOXVILLE PEDIATRIC DENTISTRY, PLLC |
Entity Type | Organization |
Authorized Contact | JOSEPH REED TOWNSEND Owner 865-218-9177 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8203) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8900) |
1223P0221X Dentist, Pediatric Dentistry (Licence: TN 9607) | |
Enumeration Date | 2013-06-19 |
Last Update Date | 2015-02-04 |