Individual
DR. GREGORY D MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
559 E PIKES PEAK AVE, STE 203, COLORADO SPRINGS, CO 80903
(719) 473-9222
(719) 473-0133
Mailing address
559 E PIKES PEAK AVE, STE 203, COLORADO SPRINGS, CO 80903
(719) 473-9222
(719) 473-0133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104646
CO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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