Individual
DR. CLIFFORD L BROCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3418 SE BELMONT ST, PORTLAND, OR 97214-4247
(503) 236-3706
Mailing address
3418 SE BELMONT ST, PORTLAND, OR 97214-4247
(503) 236-3706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5673
OR
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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