DR. Michael Charles Mocknick, D.M.D.

NPI #1992962070 in Mc Lean, Virginia

Provider Information

NPI Number: 1992962070
Entity Type: Individual
Name: DR. Michael Charles Mocknick, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: May 17, 2008
Last Updated: May 17, 2008

Practice Location

Address: 6845 ELM ST
Address 2: SUITE 509
City: Mc Lean
State: Virginia
ZIP Code: 22101-6007
Phone: (703) 734-0334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Endodontics — Endodontics	1223E0200X

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