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Individual

DR. SALLY MARGARET BOCK X

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2619 S ELM PL, BROKEN ARROW, OK 74012-7878
(918) 872-0218
Mailing address
1504 PEACHTREE CT, EDMOND, OK 73025-2920
(405) 821-0284

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
064584
NY
1223G0001X
General Practice Dentistry
Primary
7413
OK

Other

Enumeration date
06/08/2021
Last updated
09/12/2025
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