Individual
STEPHEN MATTHEW COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
707 PARNASSUS AVE, 4TH FLOOR FACULTY GROUP PRACTICE, SAN FRANCISCO, CA 94143-2210
(415) 476-1419
Mailing address
PO BOX 11424, OAKLAND, CA 94611-0424
(510) 390-5632
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11191
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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