| NPI | 1962799379 |
|---|---|
| Professional Name | CHARLES COOKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 9483) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS039050) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2015-03-05 |