| Jason T Bock Dds Inc. | |
|
255 W Central Ave Ste 102 Brea CA 92821-3373 | |
| (714) 990-4114 | |
| (714) 529-2559 |
| Full Name | Jason T Bock Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| 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 |
|---|---|
| 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 | 1639733074 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639733074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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