| NPI | 1679543912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R COOK Oral & Maxillofacial Surgeon 423-855-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS0000004615) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |