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Organization
O. C. TEBROCK DDS, INC.
Active
Organization
O. C. TEBROCK DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. O C TEBROCK DDS (OWNER)
(707) 447-4540
Entity
Organization
Contact information
Practice address
595 BUCK AVE, ST. F, VACAVILLE, CA 95688-3642
(707) 447-4540
(707) 447-4540
Mailing address
595 BUCK AVE, ST. F, VACAVILLE, CA 95688-3642
(707) 447-4540
(707) 447-4540
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
33858
CA
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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