Individual
STACEY M BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
70 WILLOW ST, JERSEY CITY, NJ 07305
(201) 320-5189
Mailing address
70 WILLOW ST, JERSEY CITY, NJ 07305
(201) 320-5189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02319700
NJ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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