Individual
DR. DESTRY BRANDON COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2525 W CAREFREE HWY, BUILDING 2, SUITE 108, PHOENIX, AZ 85085-6093
(623) 533-5699
(623) 533-5832
Mailing address
2525 W CAREFREE HWY, BUILDING 2, SUITE 108, PHOENIX, AZ 85085-6093
(623) 533-5699
(623) 533-5832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6405
AZ
Other
Enumeration date
09/27/2006
Last updated
11/01/2012
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