Organization
HEWITT ROAD FAMILY DENTAL CENTER
Active
Other names
Five Macs Properties LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW COOKS D.D.S. (DENTIST OWNER)
(734) 434-9815
Entity
Organization
Contact information
Practice address
3060 PACKARD RD, YPSILANTI, MI 48197-1978
(734) 434-9815
(734) 434-1836
Mailing address
3060 PACKARD RD, YPSILANTI, MI 48197-1978
(734) 434-9815
(734) 434-1836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
09/28/2011
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