| NPI | 1790905842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARGARET VALADIE Doctor 423-870-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8542) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-03-26 |