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Organization
MYRON D. SCHROCK, D.M.D., P.A.
Active
Organization
MYRON D. SCHROCK, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON DANIEL SCHROCK D.M.D. (OWNER)
(850) 237-1400
Entity
Organization
Contact information
Practice address
17470 MAIN ST N, BLOUNTSTOWN, FL 32424-1772
(850) 237-1400
Mailing address
17470 MAIN ST N, BLOUNTSTOWN, FL 32424-1772
(850) 237-1400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074702500
—
FL
Enumeration date
07/05/2011
Last updated
07/05/2011
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