| NPI | 1093048860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PHILIP BOCK Owner 831-475-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D20820) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |