Individual
HOLLY C COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7600 FERN AVE, BUILDING 800, SHREVEPORT, LA 71105-5659
(318) 524-2024
Mailing address
7600 FERN AVE, BUILDING 800, SHREVEPORT, LA 71105-5659
(318) 524-2024
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5329
LA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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