Individual
CONRAD E COOK VI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 N MAIN ST, WOODRUFF, SC 29388-1648
(864) 476-3212
Mailing address
401 E STONE AVE APT 421, GREENVILLE, SC 29601-1763
(205) 908-2860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10021
SC
Other
Enumeration date
08/09/2021
Last updated
08/10/2021
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