NPI | 1275610495 |
---|---|
Doing Business As | JOHNATHAN TODD COOK DDS |
Entity Type | Organization |
Authorized Contact | JONATHAN TODD COOK Owner Dentist 503-656-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7453) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |