Individual
DR. ARCHIE COOK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 KEISLER DR STE 200, CARY, NC 27518-7091
(618) 256-6831
Mailing address
310 W LOSEY ST, SCOTT AIR FORCE BASE, IL 62225-5250
(618) 256-6831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8519
NC
Other
Enumeration date
01/04/2008
Last updated
04/23/2019
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