Organization
COOK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL HENRY COOK D.D.S., M.S. (OWNER)
(253) 627-5470
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, SUITE B6005, TACOMA, WA 98405-1702
(253) 627-5470
(253) 627-5474
Mailing address
1901 S UNION AVE, SUITE B6005, TACOMA, WA 98405-1702
(253) 627-5470
(253) 627-5474
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3793
WA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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