Organization
GLEN ROSE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON K COOK DMD (GENERAL DENTIST)
(254) 898-4646
Entity
Organization
Contact information
Practice address
1104 BLUEBONNET ST, GLEN ROSE, TX 76043-5013
(254) 898-4646
(254) 897-7321
Mailing address
1104 BLUEBONNET ST, GLEN ROSE, TX 76043-5013
(254) 898-4646
(254) 897-7321
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
29154
TX
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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