| NPI | 1821263310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. ROGERS President/Owner 423-638-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 7056) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |