Individual
ERICA BOCKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2845 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2116
(904) 240-4021
Mailing address
806 SPINNAKERS REACH DR, PONTE VEDRA BEACH, FL 32082-3408
(904) 240-4021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23318
FL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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