# KELL JORN COOK, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568600864
- **Authorized official:** HOLLY ANN WILSON (ADMINISTRATOR)
- **Authorized official phone:** (480) 899-4477

## Contact information

- **Practice address:** 3800 W RAY RD STE 19, CHANDLER, AZ 85226-5940
- **Practice address phone:** (480) 899-4477
- **Mailing address:** 3800 W RAY RD STE 19, CHANDLER, AZ 85226-5940
- **Mailing address phone:** (480) 899-4477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4037 | AZ | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 01/26/2009