| NPI | 1902052822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVON ELIZABETH HULSE President 865-640-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8110) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |