Clifford J Cook Dmd PA

NPI #1548713092 in Diberville, Mississippi

Provider Information

NPI Number: 1548713092
Entity Type: Organization
Organization Name: Clifford J Cook Dmd PA
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2016
Last Updated: Mar 16, 2017

Practice Location

Address: 10437 LAMEY BRIDGE RD
Address 2: STE E
City: Diberville
State: Mississippi
ZIP Code: 39540-2709
Phone: (228) 860-7895

Authorized Official

Name: CLIFFORD J COOK, DMD
Title: OWNER
Phone: (228) 388-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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