| NPI | 1922110147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JEFFREY COOK President Sugarland Dental Pc 307-673-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WY 1030) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 6291) |
| 1223G0001X Dentist General Practice (Licence: AK 1017) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-04-26 |