Organization
KY DENTAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEROCK KY DDS (PRESIDENT)
(559) 393-1929
Entity
Organization
Contact information
Practice address
302 E CARSON ST STE 100, CARSON, CA 90745-8507
(559) 393-1929
Mailing address
PO BOX 994, MORRO BAY, CA 93443-0994
(559) 393-1929
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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