Individual
SALLY A COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2816 E 23RD ST, KANSAS CITY, MO 64127-4002
(816) 231-3955
Mailing address
2816 E 23RD ST, KANSAS CITY, MO 64127-4002
(816) 231-3955
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003105
MO
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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