Individual
DANIEL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 832-4854
(785) 832-4853
Mailing address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 832-4854
(785) 832-4853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60703
KS
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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