Dr. Jefferson C Brock
Dr. Jefferson C Brock is a General Practice Dentistry in Skokie, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
9631 Gross Point Rd Ste 1Skokie, IL 60076-1264
Phone: (847) 673-6616
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence A12889 (IL) |
|---|
Record details
| NPI number | 1407974215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 9631 Gross Point Rd Ste 1, Skokie, IL 60076-1264 |
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