Individual
MS. REBECCA S COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDH
Contact information
Practice address
9443 E 38TH ST, INDIANAPOLIS, IN 46235-2132
(317) 890-2100
Mailing address
1262 N COUNTY ROAD 425 E, AVON, IN 46123-8669
(317) 745-2999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13006497A
IN
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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