Individual
JILL ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10767 E TRAVERSE HWY STE B, TRAVERSE CITY, MI 49684-6219
(231) 947-0351
Mailing address
2632 LAKES NORTH DR, INTERLOCHEN, MI 49643-9134
(231) 640-0298
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010556
MI
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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