IndividualActive
Larry Cook
NPI 1730731928 · Dental Laboratory Technician · Prescott, AZ
Provider details
- NPI number
- 1730731928
- Entity type
- Individual
- Primary specialty
- Dental Laboratory TechnicianDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
2914 Jerry St
Prescott, AZ 86301-7609
Phone: (928) 778-3571
Approximate (ZIP-level) locationGet directions
Mailing address
2914 Jerry St
Prescott, AZ 86301-7609
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2019-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.