Provider Demographics
NPI:1700970548
Name:COOK, KATHERINE VO (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:VO
Last Name:COOK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:TOUNGKHANH
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:450 SUTTER ST.
Mailing Address - Street 2:SUITE 2525
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108
Mailing Address - Country:US
Mailing Address - Phone:415-397-1004
Mailing Address - Fax:415-397-3060
Practice Address - Street 1:450 SUTTER ST.
Practice Address - Street 2:SUITE 2525
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108
Practice Address - Country:US
Practice Address - Phone:415-397-1004
Practice Address - Fax:415-397-3060
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice