Gbcc Dental Pllc

NPI #1407397144 in Glen Rose, Texas

Provider Information

NPI Number: 1407397144
Entity Type: Organization
Organization Name: Gbcc Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 14, 2017
Last Updated: Sep 28, 2021

Practice Location

Address: 1104 BLUEBONNET ST
City: Glen Rose
State: Texas
ZIP Code: 76043
Phone: (254) 898-4646

Authorized Official

Name: DR. CLAYTON K COOK, DMD
Title: OWNER/DENTIST
Phone: (817) 294-1090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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