| NPI | 1770302390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUDZAI CHIKWAVA Dds 423-622-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |