Organization
COOK FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSIDY TAYLOR COOK D.M.D. (PRESIDENT)
(850) 622-2226
Entity
Organization
Contact information
Practice address
2441 HWY 98 W, STE 107, SANTA ROSA BEACH, FL 32459
(850) 622-2226
(850) 622-2246
Mailing address
2441 HWY 98 W, STE 107, SANTA ROSA BEACH, FL 32459
(850) 622-2226
(850) 622-2246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18378
FL
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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