Organization
CENTER STREET DENTAL PC
Active
Other names
Johnathan Todd Cook DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN TODD COOK DDS (OWNER DENTIST)
(503) 656-8287
Entity
Organization
Contact information
Practice address
419 CENTER STREET, OREGON CITY, OR 97045-2211
(503) 656-8287
(503) 656-8375
Mailing address
419 CENTER STREET, OREGON CITY, OR 97045-2211
(503) 656-8287
(503) 656-8375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7453
OR
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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