NPI | 1063718724 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNEST W COOPER Dentist 423-928-2621 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN TN 3275) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |