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Organization
GBCC DENTAL PLLC
Active
Organization
GBCC DENTAL PLLC
Active
Other names
Glen Rose Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON K COOK DMD (OWNER/DENTIST)
(817) 294-1090
Entity
Organization
Contact information
Practice address
1104 BLUEBONNET ST, GLEN ROSE, TX 76043
(254) 898-4646
(254) 897-7321
Mailing address
1104 BLUEBONNET ST, GLEN ROSE, TX 76043
(254) 898-4646
(254) 897-7321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29154
TX
Other
Enumeration date
03/14/2017
Last updated
09/28/2021
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