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Organization
PAUL P. BOCK DDS INC.
Active
Organization
PAUL P. BOCK DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PHILIP BOCK D.D.S. (OWNER)
(831) 475-1566
Entity
Organization
Contact information
Practice address
4100 PORTOLA DR, SUITE 3, SANTA CRUZ, CA 95062-4500
(831) 475-1566
Mailing address
4100 PORTOLA DR., SUITE 3, SANTA CRUZ, CA 95062-4500
(831) 475-1566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D20820
CA
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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