Provider Demographics
NPI:1679882757
Name:MOCKLER, HELEN PATRICIA (DDS)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:PATRICIA
Last Name:MOCKLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 S BASCOM AVE STE 2400
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2356
Mailing Address - Country:US
Mailing Address - Phone:408-886-8694
Mailing Address - Fax:
Practice Address - Street 1:281 E HAMILTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0232
Practice Address - Country:US
Practice Address - Phone:408-871-0877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA598761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice