Individual
DR. JUSTIN RYAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2277 SCIENCE PRKWY, OKEMOS, MI 48864-2551
(517) 349-6669
Mailing address
1513 BURBANK DR., SAINT JOHNS, MI 48879
(517) 202-7765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019571
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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