Individual
EDWIN R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1817 BLACK ROCK TURNPIKE, FAIRFIELD, CT 06825
(203) 368-6600
Mailing address
1817 BLACK ROCK TURNPIKE, FAIRFIELD, CT 06825
(203) 368-6600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4767
CT
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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