NPI | 1841764271 |
---|---|
Doing Business As | DAYSPRING DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN DAVID HARRIS Credentialing 423-784-8492 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-01-18 |
Last Update Date | 2023-09-20 |