Individual
DR. BRADLEY COBB BOCKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3231 WARING CT, OCEANSIDE, CA 92056-4510
(760) 732-3456
(760) 732-3404
Mailing address
21512 COUNTRYSIDE DR, LAKE FOREST, CA 92630-6559
(949) 583-0935
(760) 732-3404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38042
CA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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