Individual
DR. JEFFREY DAVID COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
339 MAIN ST, YARMOUTH, ME 04096-7936
(207) 846-9094
Mailing address
339 MAIN ST, YARMOUTH, ME 04096-7936
(207) 846-9094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3480
ME
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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