Individual
JENNIFER SUZANNE COOK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
401A S UTICA AVE, TULSA, OK 74104-2608
(918) 599-8383
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5162
OK
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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