Individual
DR. TANNER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N STONEWALL AVE RM 453, OKLAHOMA CITY, OK 73117-1214
(405) 271-4148
Mailing address
2605 CARLTON WAY, THE VILLAGE, OK 73120-3317
(580) 695-0390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
361
OK
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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