| NPI | 1780890004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN GARY LOVELY Dentist 865-690-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7792) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |