Brock, Larry Richard

Brock, Larry Richard is an sole proprietor health care provider with primary practice located at 1454 Campbell Rd Suite 200, Houston TX 77055-4604. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brock, Larry Richard can be contacted via phone (724) 513-2416.

Contact Information

Primary practice address
1454 Campbell Rd Suite 200 Houston TX 77055-4604
Phone: (724) 513-2416
Fax: (281) 265-1850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23795 Texas
Dental Providers / General Practice 1223G0001X DS018023L Pennsylvania

Profile Details

NPI number 1376646448
LBN Legal business name Brock, Larry Richard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Apr 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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