Individual
ALLISON BOCKRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4353 E STATE ROUTE 73, WAYNESVILLE, OH 45068-8812
(513) 897-0248
Mailing address
3811 GRAND OAK TRL, DAYTON, OH 45440-5011
(937) 776-5019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10586
KY
1223G0001X
General Practice Dentistry
Primary
30.026442
OH
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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