Individual
DR. KURT R SCHROCK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-6011
(601) 638-6140
Mailing address
1903 MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-6011
(601) 638-6140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1651-74
MS
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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