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Organization

COOK DENTAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY COOK DDS (CEO/DENTIST)
(706) 322-3218
Entity
Organization

Contact information

Practice address
1190 MARTIN LUTHER KING JR BLVD, COLUMBUS, GA 31906-3665
(706) 322-3218
(706) 322-3219
Mailing address
1190 MARTIN LUTHER KING JR BLVD, COLUMBUS, GA 31906-3665
(706) 322-3218
(706) 322-3219

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011954
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102653460A
GA
Enumeration date
05/12/2008
Last updated
10/16/2024
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