Organization
JASON R. BROCK DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BROCK DDS (OWNER)
(281) 461-7470
Entity
Organization
Contact information
Practice address
17150 EL CAMINO REAL, HOUSTON, TX 77058-2738
(281) 461-7470
Mailing address
818A YALE ST, HOUSTON, TX 77007-1538
(323) 273-9549
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28465
TX
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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