Organization
COOK DENTAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN COOK DDS (OWNER PRESIDENT DENTIST)
(707) 815-9384
Entity
Organization
Contact information
Practice address
595 BUCK AVE STE F, VACAVILLE, CA 95688-3642
(707) 474-9621
Mailing address
595 BUCK AVE STE F, VACAVILLE, CA 95688-3642
(707) 474-9621
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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