| NPI | 1942510979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MCDANIEL Secretary 423-266-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS8122) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |