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Organization

COOK ENDODONTICS, PC

Active
Parent organization
COOK ENDODONTICS, PC
Other names
Cook & Swenson Endodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
COOK ENDODONTICS, PC
Authorized official
JERRY M COOK DMD (PRESIDENT)
(701) 232-1956
Entity
Organization

Contact information

Practice address
3425 S WASHINGTON ST, GRAND FORKS, ND 58201-7101
(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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