Organization
BOCK AND HUTCHINSON, PLLC
Active
Other names
South Kitsap Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LYNN BOCK (ADMINISTRATIVE ASSISTANT)
(360) 876-6211
Entity
Organization
Contact information
Practice address
1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
(360) 876-6211
(360) 876-7952
Mailing address
1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
(360) 876-6211
(360) 876-7952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9039
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12230000X
—
WA
Enumeration date
09/18/2012
Last updated
09/18/2012
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