| NPI | 1831527969 |
|---|---|
| Doing Business As | MARYVILLE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAN LOVELY Owner 865-604-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 7792) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |