Individual
DR. NATHANIEL COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2442 MOUNDS VIEW BLVD, MOUND VIEW, MN 55112
(763) 316-5400
Mailing address
2442 MOUNDS VIEW BLVD, MOUNDS VIEW, MN 55112
(763) 316-5400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13950
MN
1223P0221X
Pediatric Dentistry
Primary
D13950
MN
Other
Enumeration date
03/19/2018
Last updated
10/25/2023
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