| NPI | 1851691281 |
|---|---|
| Doing Business As | EAST BRAINERD ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BROWN Office Manager 423-296-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2013-09-30 |