# BOCK AND HUTCHINSON, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Kitsap Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144570003
- **Authorized official:** MRS. SUSAN LYNN BOCK (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (360) 876-6211

## Contact information

- **Practice address:** 1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
- **Practice address phone:** (360) 876-6211
- **Practice address fax:** (360) 876-7952
- **Mailing address:** 1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
- **Mailing address phone:** (360) 876-6211
- **Mailing address fax:** (360) 876-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9039 | WA | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12230000X | — | WA |