Individual
DR. CASEY BOYEA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
51 HOLLAND ST, SOMERVILLE, MA 02144-2731
(617) 623-6767
(617) 666-3033
Mailing address
51 HOLLAND ST, SOMERVILLE, MA 02144-2731
(617) 623-6767
(617) 666-3033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19512
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11156
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/22/2007
Last updated
07/08/2007
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