Individual
DR. JASON TERRY BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
420 W CENTRAL AVE, SUTIE F, BREA, CA 92821-3001
(714) 990-4114
(714) 529-2559
Mailing address
420 W CENTRAL AVE, SUITE F, BREA, CA 92821-3001
(714) 990-4114
(714) 529-2559
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32694
CA
Other
Enumeration date
09/25/2007
Last updated
09/26/2007
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