Individual
ANDREW COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6471 N LA CHOLLA BLVD, TUCSON, AZ 85741-3141
(520) 742-6136
Mailing address
6471 N LA CHOLLA BLVD, TUCSON, AZ 85741-3141
(509) 415-5386
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D012060
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
07/23/2024
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