Organization
JASON T BOCK DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T BOCK DDS, MS (PRESIDENT)
(714) 990-4114
Entity
Organization
Contact information
Practice address
255 W CENTRAL AVE STE 102, BREA, CA 92821-3373
(714) 990-4114
(714) 529-2559
Mailing address
255 W CENTRAL AVE STE 102, BREA, CA 92821-3373
(714) 990-4114
(714) 529-2559
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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