| Cook Pediatric Dentistry | |
|
1901 S Union Ave Suite B6005 Tacoma WA 98405-1702 | |
| (253) 627-5470 | |
| (253) 627-5474 |
| Full Name | Cook Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1901 S Union Ave, Tacoma, Washington |
| Authorized Official Name and Position | Daniel Henry Cook (OWNER) |
| Authorized Official Contact | 2536275470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Pediatric Dentistry 1901 S Union Ave Suite B6005 Tacoma WA 98405-1702 Ph: (253) 627-5470 | Cook Pediatric Dentistry 1901 S Union Ave Suite B6005 Tacoma WA 98405-1702 Ph: (253) 627-5470 |
| NPI Number | 1669768529 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669768529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3793 (Washington) | Primary |
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