Individual
DR. KEVEN T COOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
944 N GILBERT RD, SUITE #104, MESA, AZ 85203-5835
(480) 834-5000
(480) 844-7303
Mailing address
944 N GILBERT RD, SUITE #104, MESA, AZ 85203-5835
(480) 834-5000
(480) 844-7303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2864
AZ
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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