Individual
DR. MICHELLE ANN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
619 ELM AVE STE 5, STORY CITY, IA 50248-1353
(515) 733-5031
(515) 733-6104
Mailing address
619 ELM AVE STE 5, STORY CITY, IA 50248-1353
(515) 733-5031
(515) 733-6104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08105
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238433
—
IA
Enumeration date
03/02/2007
Last updated
07/08/2007
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