Organization
GBCC DENTAL PLLC
Active
Other names
Polished Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON K COOK DMD (OWNER/DENTIST)
(817) 294-1090
Entity
Organization
Contact information
Practice address
6708 S HULEN, STE. 3, FORT WORTH, TX 76133
(817) 294-1090
(903) 465-1134
Mailing address
6708 S HULEN, STE. 3, FORT WORTH, TX 76133
(817) 294-1090
(903) 465-1134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29154
TX
Other
Enumeration date
04/28/2015
Last updated
09/28/2021
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