Organization
PHYLLIS B. COOK, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS COOK (PRESIDENT-OWNER)
(910) 256-8486
Entity
Organization
Contact information
Practice address
7028 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-3655
(910) 256-8486
Mailing address
7028 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-3655
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6551
NC
Other
Enumeration date
02/27/2007
Last updated
02/28/2008
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