| NPI | 1790920650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON C KNOP Owner 423-639-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TN 8843) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2008-12-07 |
| Last Update Date | 2022-11-09 |