Organization
JOSHUA G BROCK DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA G BROCK DDS (OWNER)
(405) 341-0203
Entity
Organization
Contact information
Practice address
2000 E 15TH ST STE 200, EDMOND, OK 73013-6679
(405) 341-0203
Mailing address
2000 E 15TH ST, EDMOND, OK 73013-6697
(405) 341-0203
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
06/14/2023
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