Individual
DR. MATTHEW KELLEY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
218 FRONT ST, OWEGO, NY 13827
(607) 687-4522
(607) 687-0750
Mailing address
218 FRONT ST, OWEGO, NY 13827
(607) 687-4522
(607) 687-0750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51736
NY
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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