Organization · Type 2 NPI
Jason T Bock DDS Inc.
Dental Clinic/Center · Brea, CA
NPI number
1639733074
Active
Practice location
255 W Central Ave Ste 102
Brea, CA 92821-3373
Fax (714) 529-2559
Other practice locations
- 1210 Nevada St Ste 102, Redlands, CA 92374-2895 · (909) 307-9898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1639733074
Jason T Bock DDS Inc.'s National Provider Identifier is 1639733074, issued on Apr 30, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Brea, CA. The record was last updated on Apr 30, 2019.