Organization
DANIEL BOCK DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BOCK DDS (DENTIST/OWNER)
(913) 385-2324
Entity
Organization
Contact information
Practice address
4121 W 83RD ST STE 200, PRAIRIE VILLAGE, KS 66208-5323
(913) 927-5466
Mailing address
7305 ASH ST, PRAIRIE VILLAGE, KS 66208-2441
(913) 927-5466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60703
KS
Other
Enumeration date
11/07/2017
Last updated
03/17/2018
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