M. Stacy Cook, Dmd
NPI #1073722203 in Leakesville, Mississippi
Provider Information
- NPI Number
- 1073722203
- Entity Type
- Organization
- Organization Name
- M. Stacy Cook, Dmd
- Primary Specialty
- Dentist
- Enumeration Date
- May 22, 2007
- Last Updated
- Apr 25, 2012
Practice Location
- Address
- 403 MAIN ST
- City
- Leakesville
- State
- Mississippi
- ZIP Code
- 39451
- Phone
- (601) 394-2467
Authorized Official
- Name
- MRS. STACY WILSON
- Title
- OFFICE MANAGER
- Phone
- (601) 394-2467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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