Individual
DR. CONRAD A BOCKSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
419 PROSPECT AVE, HACKENSACK, NJ 07601-2822
(201) 342-8964
Mailing address
419 PROSPECT AVE, HACKENSACK, NJ 07601-2822
(201) 342-8964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08709
NJ
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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