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Individual

DANIEL JOSEPH BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2170 POSTLE HALL 305 W. 12TH AVENUE, COLUMBUS, OH 43210
(614) 247-1735
Mailing address
2344 N MERRIT CRK LOOP, COEUR D ALENE, ID 83814-4950
(702) 588-8327

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027616
OH
1223G0001X
General Practice Dentistry
4771458
ID

Other

Enumeration date
06/17/2024
Last updated
05/27/2025
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