Individual
DR. ELIZABETH ALICE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7741 BALLANTYNE COMMONS PKWY, SUITE 101, CHARLOTTE, NC 28277-2442
(704) 845-0955
(704) 845-0965
Mailing address
7741 BALLANTYNE COMMONS PKWY, SUITE 101, CHARLOTTE, NC 28277-2442
(704) 845-0955
(704) 845-0965
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7876
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906299
—
NC
Enumeration date
06/24/2005
Last updated
08/26/2008
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