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Organization
OLLOCK DENTAL GROUP LLC
Active
Organization
OLLOCK DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J OLLOCK DMD (DENTIST)
(570) 638-3468
Entity
Organization
Contact information
Practice address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-3468
Mailing address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-3468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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