| NPI | 1770743601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY PAUL GOINS Pediatric Dentist/Owner 423-954-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8600) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |