NPI | 1235427618 |
---|---|
Former Legal Business Name | COOK FAMILY DENTISTRY, LLC |
Entity Type | Organization |
Authorized Contact | MEGAN L. COOK BAJLOVIC Owner/Dentist 302-378-4416 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE 159200305000LIC#2015) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE 1287) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2015-01-21 |