Hewitt Road Family Dental Center

NPI #1407974710 in Ypsilanti, Michigan

Provider Information

NPI Number: 1407974710
Entity Type: Organization
Organization Name: Hewitt Road Family Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 26, 2007
Last Updated: Sep 28, 2011

Practice Location

Address: 3060 PACKARD RD
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1978
Phone: (734) 434-9815

Authorized Official

Name: DR. MARK ANDREW COOKS, D.D.S.
Title: DENTIST OWNER
Phone: (734) 434-9815

Specialties & Taxonomy Codes

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

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