# DANIEL BOCK DDS, LLC

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

## Provider details

- **NPI number:** 1740793181
- **Authorized official:** DANIEL BOCK DDS (DENTIST/OWNER)
- **Authorized official phone:** (913) 385-2324

## Contact information

- **Practice address:** 4121 W 83RD ST STE 200, PRAIRIE VILLAGE, KS 66208-5323
- **Practice address phone:** (913) 927-5466
- **Mailing address:** 7305 ASH ST, PRAIRIE VILLAGE, KS 66208-2441
- **Mailing address phone:** (913) 927-5466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60703 | KS | Yes |

## Other

- **Enumeration date:** 11/07/2017
- **Last updated:** 03/17/2018