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Organization
COOK ENDODONTICS, PC
Active
Organization
COOK ENDODONTICS, PC
Active
Parent organization
COOK ENDODONTICS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK ENDODONTICS, PC
Authorized official
DR. JERRY M COOK DMD (PRESIDENT)
(701) 232-1956
Entity
Organization
Contact information
Practice address
4710 AMBER VALLEY PKWY S STE A, FARGO, ND 58104-8695
(701) 232-1956
Mailing address
4710 AMBER VALLEY PKWY S STE A, FARGO, ND 58104-8695
(701) 232-1956
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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