Individual
DR. DAVID LEROY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 JOHANNA ST, CHAUVIN, LA 70344
(985) 594-4217
Mailing address
PO BOX 387, CHAUVIN, LA 70344
(985) 594-4217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4058
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840581
—
LA
Enumeration date
06/14/2007
Last updated
07/08/2007
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