Brock Hinton Dds, INC

NPI #1295415123 in Fair Oaks, California

Provider Information

NPI Number: 1295415123
Entity Type: Organization
Organization Name: Brock Hinton Dds, INC
Primary Specialty: Dentist - Prosthodontics
Enumeration Date: Jul 25, 2023
Last Updated: Jul 25, 2023

Practice Location

Address: 5252 SUNRISE BLVD
Address 2: SUITE #2
City: Fair Oaks
State: California
ZIP Code: 95628
Phone: (916) 454-0860

Authorized Official

Name: JADGEV HEIR
Title: CEO/PRESIDENT
Phone: (518) 441-5483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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