| NPI | 1780373936 |
|---|---|
| Doing Business As | KNOX COUNTY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE BOSCH Owner/Dentist 660-397-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |