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1356501365
DEREK JAMES BOCK
LAKE FOREST, IL
NPI
1356501365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 021002219)
Enumeration Date
2008-06-12
Last Update Date
2009-01-29
Business Address
Dr. DEREK JAMES BOCK D.M.D., M.S.
840 S WAUKEGAN RD SUITE 107
LAKE FOREST, IL 60045-2608
Phone number: 847-615-5437
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Mailing Address
Dr. DEREK JAMES BOCK D.M.D., M.S.
840 S WAUKEGAN RD SUITE 107
LAKE FOREST, IL 60045-2608
Phone number: 847-615-5437
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