Individual
DAVID MICHAEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
410 W POPLAR ST, HARRISBURG, IL 62946-1426
(618) 252-8333
(618) 252-8333
Mailing address
PO BOX 253, 410 W. POPLAR ST., HARRISBURG, IL 62946-0253
(618) 252-8333
(618) 252-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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