Individual
AMBER COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12345 S MEMORIAL DR STE 101, BIXBY, OK 74008-2570
(918) 364-4463
Mailing address
703 BROCK RD, PAINT LICK, KY 40461-9528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8072
OK
Other
Enumeration date
04/15/2025
Last updated
06/09/2025
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