Individual
DR. GLENN STATON COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1000 N HALSTEAD RD, A, OCEAN SPRINGS, MS 39564-3119
(228) 875-4428
Mailing address
1000 A NORTH HALSTEAD, OCEAN SPRINGS, MS 39564
(228) 875-4428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2473-89
MS
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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