NPI | 1962924738 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA MARIE HALL - FISHER President/ CEO 865-333-1611 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TN DS0000004867) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2018-06-16 |