Individual
DANIEL R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
130 LAKE CONCORD RD, CONCORD, NC 28025
(504) 913-4788
Mailing address
130 LAKE CONCORD RD., CONCORD, NC 28025
(704) 788-1192
(704) 788-1178
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8069
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S-407
LA
Other
Enumeration date
04/30/2008
Last updated
02/04/2016
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