Individual
STEPHEN JOSEPH OLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-3468
(570) 638-3637
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
(570) 662-2390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038254
PA
Other
Enumeration date
06/03/2010
Last updated
03/17/2022
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