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Organization
BOCK AND HUTCHINSON, PLLC
Active
Organization
BOCK AND HUTCHINSON, PLLC
Active
Other names
South Kitsap Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LYNN BOCK (ADMINISTRATIVE ASSISTANT)
(360) 876-6211
Entity
Organization
Contact information
Practice address
1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
(360) 876-6211
(360) 876-7952
Mailing address
1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
(360) 876-6211
(360) 876-7952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9039
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12230000X
—
WA
Enumeration date
09/18/2012
Last updated
09/18/2012
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