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DR. RICKY DAVID COOK DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1407837511

Individual Registrant:
DR. RICKY DAVID COOK DDS
Gender: M

Location and contact information for practice:
3RD MEDICAL GROUP 5955 ZEAMER DRIVE ELMENDORF AFB, AK 99506 US
Tel: 907-580-5010  Fax: --

Contact information for business:
10751 SARAH BARTON CIR  EAGLE RIVER, AK 99577-7100 US
Tel: --  Fax: --

Registration Information:
NPI: 1407837511
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TX14738

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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