Individual
DR. PHILLIP ALLEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8400 OSUNA RD NE, SUITE 1C, ALBUQUERQUE, NM 87111-2087
(505) 821-1401
Mailing address
8400 OSUNA RD NE, SUITE 1C, ALBUQUERQUE, NM 87111-2087
(505) 821-1401
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DD1709
NM
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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