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 |