Individual
DR. CLIFFORD JAMES COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4100 MCINNIS AVE, MOSS POINT, MS 39563-0000
(228) 475-0005
Mailing address
4100 MCINNIS AVE, MOSS POINT, MS 39563
(228) 475-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3497-09
MS
Other
Enumeration date
05/28/2009
Last updated
08/04/2011
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