| NPI | 1518298314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT COOK President 865-379-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS006967) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |