Individual
CLAYTON KOTTER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6708 S HULEN ST STE 3, FORT WORTH, TX 76133-5243
(817) 294-1090
Mailing address
6708 S HULEN ST STE 3, FORT WORTH, TX 76133-5243
(817) 294-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29154
TX
Other
Enumeration date
06/26/2013
Last updated
05/17/2021
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