Jason T Bock Dds Inc. | |
255 W Central Ave Ste 102 Brea CA 92821-3373 | |
(714) 990-4114 | |
Not Available |
Full Name | Jason T Bock Dds Inc. |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 255 W Central Ave Ste 102, Brea, California |
Authorized Official Name and Position | Jason T Bock (PRESIDENT) |
Authorized Official Contact | 7149904114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jason T Bock Dds Inc. 255 W Central Ave Ste 102 Brea CA 92821-3373 Ph: (714) 990-4114 | Jason T Bock Dds Inc. 255 W Central Ave Ste 102 Brea CA 92821-3373 Ph: (714) 990-4114 |
NPI Number | 1275197634 |
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Provider Enumeration Date | 04/30/2019 |
Last Update Date | 04/30/2019 |
Identifier | Type | State | Issuer |
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1275197634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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