Organization
COOK ENDODONTICS, PC
Active
Parent organization
COOK ENDODONTICS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK ENDODONTICS, PC
Authorized official
DR. JERRY M COOK DMD (PRESIDENT)
(701) 232-1956
Entity
Organization
Contact information
Practice address
4710 AMBER VALLEY PKWY S STE A, FARGO, ND 58104-8695
(701) 232-1956
Mailing address
4710 AMBER VALLEY PKWY S STE A, FARGO, ND 58104-8695
(701) 232-1956
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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