NPI | 1548797996 |
---|---|
Doing Business As | COOK ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JEFF COOK Orthodontist / Owner 928-782-7863 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 5013) |
Enumeration Date | 2017-05-16 |
Last Update Date | 2022-07-21 |