Organization
OKEMOS FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN R COOK DDS (PRESIDENT)
(517) 349-6669
Entity
Organization
Contact information
Practice address
2277 SCIENCE PKWY STE 3, OKEMOS, MI 48864-2551
(517) 349-6669
(517) 349-5064
Mailing address
2277 SCIENCE PKWY STE 3, OKEMOS, MI 48864-2551
(517) 349-6669
(517) 349-5064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019571
MI
122300000X
Dentist
2901020108
MI
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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