| O. C. Tebrock Dds, Inc. | |
|
595 Buck Ave St. F Vacaville CA 95688-3642 | |
| (707) 447-4540 | |
| (707) 447-4540 |
| Full Name | O. C. Tebrock Dds, Inc. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 595 Buck Ave, Vacaville, California |
| Authorized Official Name and Position | O C Tebrock (OWNER) |
| Authorized Official Contact | 7074474540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O. C. Tebrock Dds, Inc. 595 Buck Ave St. F Vacaville CA 95688-3642 Ph: (707) 447-4540 | O. C. Tebrock Dds, Inc. 595 Buck Ave St. F Vacaville CA 95688-3642 Ph: (707) 447-4540 |
| NPI Number | 1528173218 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528173218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 33858 (California) | Primary |
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