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DR. MARK ALAN COOK DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1093838005
Individual Registrant:DR. MARK ALAN COOK DDS
Gender: M
Not Sole Proprietor
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
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
Tel: 970-963-3013 Fax: 970-963-1513
Registration Information:
NPI: 1093838005
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CO | HDL-00880 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
