Individual
DR. DAVID L NOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
425 PATTERSON RD STE 501, GRAND JUNCTION, CO 81506-1910
(970) 242-4433
Mailing address
425 PATTERSON RD STE 501, GRAND JUNCTION, CO 81506-1910
(970) 242-4433
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
105955
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02059558
—
CO
01
—
105955
STATE LICENSE NUMBER
CO
Enumeration date
04/20/2007
Last updated
07/09/2007
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