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Individual

DR. HAROLD GROVES COOKE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
709 JEFFERSON ST, WASHINGTON, MO 63090-2709
(636) 239-2316
(636) 239-2316
Mailing address
709 JEFFERSON ST, WASHINGTON, MO 63090-2709
(636) 239-2316
(636) 239-2316

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
011523
MO

Other

Enumeration date
03/12/2012
Last updated
03/12/2012
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