Individual
JUSTIN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3626 W 5600 S STE D, ROY, UT 84067-9162
(801) 985-2273
Mailing address
1350 E 2600 N, NORTH OGDEN, UT 84414-2522
(214) 679-2379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10785225
UT
Other
Enumeration date
04/23/2012
Last updated
07/28/2023
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