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DR. MARK ALAN COOK DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1093838005

Individual Registrant:
DR. MARK ALAN COOK DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
60 S 8TH ST UNIT 201  CARBONDALE, CO 81623-1929 US
Tel: 970-963-3013  Fax: 970-963-1513

Contact information for business:
60 S 8TH ST UNIT 201  CARBONDALE, CO 81623-1929 US
Tel: 970-963-3013  Fax: 970-963-1513

Registration Information:
NPI: 1093838005
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
COHDL-00880

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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