# ANTHONY R BROCK DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255687216
- **Authorized official:** DR. ANTHONY R BROCK DMD (MEMBER)
- **Authorized official phone:** (360) 477-6555

## Contact information

- **Practice address:** 321 N SEQUIM AVE, SEQUIM, WA 98382-3457
- **Practice address phone:** (360) 683-5700
- **Practice address fax:** (360) 683-7132
- **Mailing address:** PO BOX 1239, SEQUIM, WA 98382-4320
- **Mailing address phone:** (360) 683-5700
- **Mailing address fax:** (360) 683-7132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | WA | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 07/27/2012