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Organization
KELL JORN COOK, D.D.S., P.C.
Active
Organization
KELL JORN COOK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ANN WILSON (ADMINISTRATOR)
(480) 899-4477
Entity
Organization
Contact information
Practice address
3800 W RAY RD STE 19, CHANDLER, AZ 85226-5940
(480) 899-4477
Mailing address
3800 W RAY RD STE 19, CHANDLER, AZ 85226-5940
(480) 899-4477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4037
AZ
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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