| 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 |