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Organization
RICHARD J. COOK DDS PC
Active
Organization
RICHARD J. COOK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN K COOK (OFFICE MANAGER)
(907) 463-3623
Entity
Organization
Contact information
Practice address
712 W 12TH ST, JUNEAU, AK 99801-1528
(907) 463-3623
(907) 463-1115
Mailing address
712 W 12TH ST, JUNEAU, AK 99801-1528
(907) 463-3623
(907) 463-1115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
664
AK
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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