| NPI | 1508962937 |
|---|---|
| Former Legal Business Name | WOOD & COOK DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES S WOOD Owner 870-735-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-10-01 |