Individual
DR. BROCK SAUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
834 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 693-9811
Mailing address
160 PARKSIDE AVE APT 15C, BROOKLYN, NY 11226-1248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059868
NY
Other
Enumeration date
05/25/2017
Last updated
09/02/2018
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