Individual
BRODIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3558 E WINDSOR DR, GILBERT, AZ 85296-7397
(480) 570-2004
Mailing address
3558 E WINDSOR DR, GILBERT, AZ 85296-7397
(480) 570-2004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009270
AZ
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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