Individual
JOSHUA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 E 15TH ST STE 200, EDMOND, OK 73013-6679
(405) 341-0203
Mailing address
801 NW 54TH ST, OKLAHOMA CITY, OK 73118-6016
(580) 284-4078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7033
OK
Other
Enumeration date
06/06/2018
Last updated
04/04/2023
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