DR. Derek James Bock, D.M.D., M.S.
NPI #1356501365 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1356501365
- Entity Type
- Individual
- Name
- DR. Derek James Bock, D.M.D., M.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.M.D., M.S.
- Enumeration Date
- Jun 12, 2008
- Last Updated
- Jan 29, 2009
Practice Location
- Address
- 840 S WAUKEGAN RD
- Address 2
- SUITE 107
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-2608
- Phone
- (847) 615-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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