Individual
SEAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2919 S ELLSWORTH RD STE 128, MESA, AZ 85212-2167
(480) 962-1500
Mailing address
1773 S BALBOA DR, GILBERT, AZ 85295-9053
(480) 570-9051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009494
AZ
Other
Enumeration date
06/17/2016
Last updated
05/06/2022
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