Provider Demographics
NPI:1467531624
Name:COOK, VICTOR JOSEPH JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:JOSEPH
Last Name:COOK
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:4775 KNIGHTSBRIDGE BOULEVARD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-4313
Mailing Address - Country:US
Mailing Address - Phone:614-457-6567
Mailing Address - Fax:614-457-3822
Practice Address - Street 1:4775 KNIGHTSBRIDGE BOULEVARD
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-4313
Practice Address - Country:US
Practice Address - Phone:614-457-6567
Practice Address - Fax:614-457-3822
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OH161931223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics