| NPI | 1942325931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J NEWSOM BAKER President 865-984-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-07-16 |