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Individual

DR. MARC BRIAN NOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053013
NY
122300000X
Dentist
DN19197
FL

Other

Enumeration date
04/30/2011
Last updated
04/30/2011
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