| NPI | 1881142859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ARTHUR MASENGILL Dentist/Owner 865-356-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS8691) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS9638) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |