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NPI Code Detail

MEDICARE: DR. MEREDITH COLE MOCK D.D.S.

MEDICARE:  DR. MEREDITH COLE MOCK  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist21170CA

General Provider Information

NPI Number : 1144427048
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEREDITH COLE MOCK D.D.S.
Provider Business Mailing Address
First Line : 3727 N 1ST ST STE 102
Second Line :
City : FRESNO
State : CA
Zip : 93726-5628
Country : US
Telephone Number : 559-229-3541
Fax Number : 559-229-2421
Provider Business Practice Location Address
First Line : 3727 N 1ST ST STE 102
Second Line :
City : FRESNO
State : CA
Zip : 93726-5628
Country : US
Telephone Number : 559-229-3541
Fax Number : 559-229-2421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MEREDITH COLE MOCK D.D.S.” Practice Location

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