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Individual

DR. GARY ALVIN COOK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
2017 EASTCASTLE SE, SUITE A, GRAND RAPIDS, MI 49508
(616) 455-4646
(616) 455-6024
Mailing address
4325 HOLLOW VALLEY DR NE, GRAND RAPIDS, MI 49525
(616) 364-4210

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11020
MI

Other

Enumeration date
05/16/2006
Last updated
07/08/2007
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