Individual
ANGELA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-0837
Mailing address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-0837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.025334
OH
1223P0221X
Pediatric Dentistry
Primary
30.025334
OH
1223P0221X
Pediatric Dentistry
6948
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2011
Last updated
09/03/2019
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