Mike D Cook, DDS

NPI #1992891113 in Ft Worth, Texas

Provider Information

NPI Number: 1992891113
Entity Type: Individual
Name: Mike D Cook, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1300 W MAGNOLIA AVE
City: Ft Worth
State: Texas
ZIP Code: 76104-4340
Phone: (817) 877-0737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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