Most Relevant Information
Provider Data
| NPI Number: | 1003662016 |
| Provider Name: | JILL ELIZABETH COOK RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 2902010556 |
Most Important Dates
| Enumeration Date: | 04/29/2024 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
10767 E TRAVERSE HWY STE B
TRAVERSE CITY
MI
496846219
Practice Location Phone/Fax
| Phone: | 2319470351 |
| Fax: |
Provider Mailing Location
2632 LAKES NORTH DR
INTERLOCHEN
MI
496439134
Provider Mailing Phone/Fax
| Phone: | 2316400298 |
| Fax: |