| NPI | 1841601291 |
|---|---|
| Doing Business As | COOK CHILDREN'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW V DZURIK President, Ccpn 682-885-1416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2021-06-29 |