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Organization

CLIFFORD J COOK DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD J COOK DMD (OWNER)
(228) 388-3353
Entity
Organization

Contact information

Practice address
10437 LAMEY BRIDGE RD, STE E, DIBERVILLE, MS 39540-2709
(228) 860-7895
Mailing address
10437 LAMEY BRIDGE RD, STE E, DIBERVILLE, MS 39540-2709
(228) 860-7895

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/02/2016
Last updated
03/16/2017
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