| NPI | 1033386313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MCDOWELL HOOPER Co Owner 423-892-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 8262) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-01-21 |