Organization
ARIZONA DENTAL SLEEP THERAPY
Active
Organization
ARIZONA DENTAL SLEEP THERAPY
Active
Parent organization
ARIZONA COAST ORTHODONTICS
Other names
Ronnie L Cook DDS MSD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA COAST ORTHODONTICS
Authorized official
DR. RONNIE LYNN COOK D.D.S., M.S.D. (DOCTOR)
(928) 855-7700
Entity
Organization
Contact information
Practice address
1845 MCCULLOCH BLVD N STE A1, LAKE HAVASU CITY, AZ 86403-5722
(928) 855-7700
(928) 855-7703
Mailing address
1845 MCCULLOCH BLVD N STE A1, LAKE HAVASU CITY, AZ 86403-5722
(928) 855-7700
(928) 855-7703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AZ1687
AZ
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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