NPI | 1922111574 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RANDALL HUTTON Doctor 865-687-4881 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 474) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |