NPI | 1801823596 |
---|---|
Other Name | JOSEPH W BRAKOVEC DDS |
Entity Type | Organization |
Authorized Contact | JOSEPH WARREN BRAKOVEC Dentist Owner 865-966-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 8303) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2020-08-22 |