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Organization
MEREDITH C MOCK DDS INC
Active
Organization
MEREDITH C MOCK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH COLE MOCK DDS (PRESIDENT DENTIST)
(559) 229-3541
Entity
Organization
Contact information
Practice address
3727 N 1ST ST, SUITE 102, FRESNO, CA 93726-5628
(559) 229-3541
Mailing address
3727 N 1ST ST, SUITE 102, FRESNO, CA 93726-5628
(559) 229-3541
(559) 229-2421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2117001
DELTA DENTALS STATE GOVER
—
Enumeration date
11/15/2005
Last updated
08/22/2020
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