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Individual

DR. FRED FRANKLIN ZOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2525 TEXAS AVE, BRIDGE CITY, TX 77611-2847
(409) 735-7108
(409) 735-6596
Mailing address
2525 TEXAS AVE, BRIDGE CITY, TX 77611-2847
(409) 735-7108
(409) 735-6596

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15955
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15955
STATE LINCENSE
TX
Enumeration date
10/04/2006
Last updated
07/08/2007
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